10D0928601 CLIA NUMBER - SYLLETTE KING MD PA

Laboratory Demographics

  • CLIA Code: 10D0928601
  • Facility Name: SYLLETTE KING MD PA
  • Facility Address: 506 S CHICKASAW TRL STE 100
    ORLANDO, FL
    ZIP 32825
  • Facility Phone: 407 282-8775
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SYLLETTE KING
  • NPI Number: 1629007224
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 10D0928601
LAB Type Practitioner Other
Facility Name SYLLETTE KING MD PA
Street 506 S CHICKASAW TRL STE 100
City ORLANDO
State FL
ZIP 32825
Phone 407 282-8775
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Practitioner Other
Lab Director SYLLETTE KING

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