10D0714363 CLIA NUMBER - ORLANDO PHYSICIAN NETWORK

Laboratory Demographics

  • CLIA Code: 10D0714363
  • Facility Name: ORLANDO PHYSICIAN NETWORK
  • Facility Address: 9964 UNIVERSITY BLVD
    ORLANDO, FL
    ZIP 32817
  • Facility Phone: 407 261-2990
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT CLEMENT
  • NPI Number: 1922772235
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0714363
LAB Type Physician Office
Facility Name ORLANDO PHYSICIAN NETWORK
Street 9964 UNIVERSITY BLVD
City ORLANDO
State FL
ZIP 32817
Phone 407 261-2990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2023
Certificate Expiration Date 11/22/2025
Facility Type Physician Office
Lab Director ROBERT CLEMENT

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