10D0880872 CLIA NUMBER - ORLANDO HEALTH MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 10D0880872
  • Facility Name: ORLANDO HEALTH MEDICAL GROUP INC
  • Facility Address: 89 W COPELAND 3RD FL
    ORLANDO, FL
    ZIP 32806
  • Facility Phone: (321) 843-7712
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. STANISLAW K. MIASKOWSKI
  • NPI Number: 1003580929
  • Taxonomy: 2084N0402X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 10D0880872
LAB Type Physician Office
Facility Name ORLANDO HEALTH MEDICAL GROUP INC
Street 89 W COPELAND 3RD FL
City ORLANDO
State FL
ZIP 32806
Phone 3218437712
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Physician Office
Lab Director DR. STANISLAW K. MIASKOWSKI

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This page was last updated on: 5/18/2026