10D0684776 CLIA NUMBER - PALM GARDEN OF ORLANDO

Laboratory Demographics

  • CLIA Code: 10D0684776
  • Facility Name: PALM GARDEN OF ORLANDO
  • Facility Address: 654 N ECONLOCKHATCHEE TRL
    ORLANDO, FL
    ZIP 32825
  • Facility Phone: 407 591-2090
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CAMMIE DURGAN
  • NPI Number: 1417953621
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0684776
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PALM GARDEN OF ORLANDO
Street 654 N ECONLOCKHATCHEE TRL
City ORLANDO
State FL
ZIP 32825
Phone 407 591-2090
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 Skilled Nursing Facility/Nursing Facility
Lab Director CAMMIE DURGAN

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