10D0298730 CLIA NUMBER - CHARLES D BISOGNO DO

Laboratory Demographics

  • CLIA Code: 10D0298730
  • Facility Name: CHARLES D BISOGNO DO
  • Facility Address: 201 HILDA STREET SUITE 14
    KISSIMMEE, FL
    ZIP 34741
  • Facility Phone: 407 846-8288
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES D. BISOGNO
  • NPI Number: 1538121082
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0298730
LAB Type Physician Office
Facility Name CHARLES D BISOGNO DO
Street 201 HILDA STREET SUITE 14
City KISSIMMEE
State FL
ZIP 34741
Phone 407 846-8288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Physician Office
Lab Director CHARLES D. BISOGNO

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