10D0878281 CLIA NUMBER - OAKS OF KISSIMMEE OPERATIONS LLC

Laboratory Demographics

  • CLIA Code: 10D0878281
  • Facility Name: OAKS OF KISSIMMEE OPERATIONS LLC
  • Facility Address: 320 N MITCHELL STREET
    KISSIMMEE, FL
    ZIP 34741
  • Facility Phone: 407 847-7200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOSE D. ALICEA
  • NPI Number: 1972595809
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0878281
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OAKS OF KISSIMMEE OPERATIONS LLC
Street 320 N MITCHELL STREET
City KISSIMMEE
State FL
ZIP 34741
Phone 407 847-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2023
Certificate Expiration Date 10/20/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JOSE D. ALICEA

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