10D0669044 CLIA NUMBER - SURGICAL GROUP OF ORLANDO,THE

Laboratory Demographics

  • CLIA Code: 10D0669044
  • Facility Name: SURGICAL GROUP OF ORLANDO,THE
  • Facility Address: 1814 LUCERNE TERRACE
    ORLANDO, FL
    ZIP 32806
  • Facility Phone: 407 730-3627
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANELLE K. CHAMBERS
  • NPI Number: 1417041468
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0669044
LAB Type Physician Office
Facility Name SURGICAL GROUP OF ORLANDO,THE
Street 1814 LUCERNE TERRACE
City ORLANDO
State FL
ZIP 32806
Phone 407 730-3627
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DANELLE K. CHAMBERS

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