10D0917633 CLIA NUMBER - ORLANDO PHYSICIAN NETWORK

Laboratory Demographics

  • CLIA Code: 10D0917633
  • Facility Name: ORLANDO PHYSICIAN NETWORK
  • Facility Address: 5409 DEEP LAKE RD
    OVIEDO, FL
    ZIP 32765
  • Facility Phone: 407 366-9800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TODD SONTAG
  • NPI Number: 1326714502
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0917633
LAB Type Physician Office
Facility Name ORLANDO PHYSICIAN NETWORK
Street 5409 DEEP LAKE RD
City OVIEDO
State FL
ZIP 32765
Phone 407 366-9800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Physician Office
Lab Director TODD SONTAG

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