10D0881744 CLIA NUMBER - ORLANDO FL OPCO LLC

Laboratory Demographics

  • CLIA Code: 10D0881744
  • Facility Name: ORLANDO FL OPCO LLC
  • Facility Address: 1730 LUCERNE TERRACE 328
    ORLANDO, FL
    ZIP 32806
  • Facility Phone: 407 423-1612
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JESSICA PIERRE
  • NPI Number: 1578547535
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0881744
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ORLANDO FL OPCO LLC
Street 1730 LUCERNE TERRACE 328
City ORLANDO
State FL
ZIP 32806
Phone 407 423-1612
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JESSICA PIERRE

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