10D0275542 CLIA NUMBER - ORLANDO PHYSICIAN NETWORK

Laboratory Demographics

  • CLIA Code: 10D0275542
  • Facility Name: ORLANDO PHYSICIAN NETWORK
  • Facility Address: 2920 MAGUIRE RD
    OCOEE, FL
    ZIP 34761
  • Facility Phone: 407 654-6506
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY D. GORDON
  • NPI Number: 1013680347
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0275542
LAB Type Physician Office
Facility Name ORLANDO PHYSICIAN NETWORK
Street 2920 MAGUIRE RD
City OCOEE
State FL
ZIP 34761
Phone 407 654-6506
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Physician Office
Lab Director GREGORY D. GORDON

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This page was last updated on: 9/29/2025