10D0711628 CLIA NUMBER - JUAN P SUAREZ

Laboratory Demographics

  • CLIA Code: 10D0711628
  • Facility Name: JUAN P SUAREZ
  • Facility Address: 1900 N MILLS AVE STE 103
    ORLANDO, FL
    ZIP 32803
  • Facility Phone: 407 843-0151
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUAN P. SUAREZ LOPEZ
  • NPI Number: 1992794556
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0711628
LAB Type Physician Office
Facility Name JUAN P SUAREZ
Street 1900 N MILLS AVE STE 103
City ORLANDO
State FL
ZIP 32803
Phone 407 843-0151
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 JUAN P. SUAREZ LOPEZ

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