10D0863018 CLIA NUMBER - CORDELL MITCHELL MD

Laboratory Demographics

  • CLIA Code: 10D0863018
  • Facility Name: CORDELL MITCHELL MD
  • Facility Address: 974 DOUGLAS AVENUE SUITE 102
    ALTAMONTE SPRINGS, FL
    ZIP 32714
  • Facility Phone: 407 862-1550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CORDELL MITCHELL MD
  • NPI Number: 1306899679
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 10D0863018
LAB Type Physician Office
Facility Name CORDELL MITCHELL MD
Street 974 DOUGLAS AVENUE SUITE 102
City ALTAMONTE SPRINGS
State FL
ZIP 32714
Phone 407 862-1550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Physician Office
Lab Director CORDELL MITCHELL MD

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