10D0274948 CLIA NUMBER - ORANGE COUNTY MEDICAL CLINIC LAB

Laboratory Demographics

CLIA Number: 10D0274948

Facility Name: ORANGE COUNTY MEDICAL CLINIC LAB

Facility Address:
101 SOUTH WESTMORELAND DRIVE
ORLANDO, FL
ZIP 32805
Get Directions

Facility Phone Number: 407 836-7191

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1689704694

Taxonomy: 164W00000X - Licensed Practical Nurse
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

CLIA Record

Field Name	Field Value
CLIA Number	10D0274948
LAB Type	Independent
Facility Name	ORANGE COUNTY MEDICAL CLINIC LAB
Street	101 SOUTH WESTMORELAND DRIVE
City	ORLANDO
State	FL
ZIP	32805
Phone	407 836-7191
CertificateType	4
CertificateEffectiveDate	12/28/2022
CertificateExpirationDate	12/27/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024