10D0694346 CLIA NUMBER - PAUL D SOVRAN MD

Laboratory Demographics

  • CLIA Code: 10D0694346
  • Facility Name: PAUL D SOVRAN MD
  • Facility Address: 211 E RUBY AVE
    KISSIMMEE, FL
    ZIP 34741
  • Facility Phone: 407 847-3333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL D. SOVRAN MD
  • NPI Number: 1093710097
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0694346
LAB Type Physician Office
Facility Name PAUL D SOVRAN MD
Street 211 E RUBY AVE
City KISSIMMEE
State FL
ZIP 34741
Phone 407 847-3333
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 PAUL D. SOVRAN MD

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