10D0907651 CLIA NUMBER - ORLANDO PHYSICIAN NETWORK

Laboratory Demographics

  • CLIA Code: 10D0907651
  • Facility Name: ORLANDO PHYSICIAN NETWORK
  • Facility Address: 8793 COMMODITY CIRCLE
    ORLANDO, FL
    ZIP 32819
  • Facility Phone: 407 351-8200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CALVIN L. GIBSON
  • NPI Number: 1518633775
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0907651
LAB Type Physician Office
Facility Name ORLANDO PHYSICIAN NETWORK
Street 8793 COMMODITY CIRCLE
City ORLANDO
State FL
ZIP 32819
Phone 407 351-8200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Physician Office
Lab Director CALVIN L. GIBSON

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