10D0897942 CLIA NUMBER - MAITLAND FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 10D0897942
  • Facility Name: MAITLAND FIRE DEPARTMENT
  • Facility Address: 1776 INDEPENDENCE LANE
    MAITLAND, FL
    ZIP 32751
  • Facility Phone: 407 539-6229
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: TODD M. HUSTY
  • NPI Number: 1558464669
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0897942
LAB Type Other
Facility Name MAITLAND FIRE DEPARTMENT
Street 1776 INDEPENDENCE LANE
City MAITLAND
State FL
ZIP 32751
Phone 407 539-6229
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Other
Lab Director TODD M. HUSTY

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