10D0692402 CLIA NUMBER - ADVANCE FAMILY PRACTICE LLC

Laboratory Demographics

  • CLIA Code: 10D0692402
  • Facility Name: ADVANCE FAMILY PRACTICE LLC
  • Facility Address: 1910 N ORANGE AVENUE
    ORLANDO, FL
    ZIP 32804
  • Facility Phone: 407 644-1132
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAMESH M. PATEL
  • NPI Number: 1649259144
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0692402
LAB Type Physician Office
Facility Name ADVANCE FAMILY PRACTICE LLC
Street 1910 N ORANGE AVENUE
City ORLANDO
State FL
ZIP 32804
Phone 407 644-1132
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 RAMESH M. PATEL

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