10D0948042 CLIA NUMBER - KEITH A GRAY MD PA

Laboratory Demographics

  • CLIA Code: 10D0948042
  • Facility Name: KEITH A GRAY MD PA
  • Facility Address: 100 WEST GORE STREET STE 303
    ORLANDO, FL
    ZIP 32806
  • Facility Phone: 407 839-5063
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEITH A. GRAY MD
  • NPI Number: 1033195177
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0948042
LAB Type Physician Office
Facility Name KEITH A GRAY MD PA
Street 100 WEST GORE STREET STE 303
City ORLANDO
State FL
ZIP 32806
Phone 407 839-5063
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2024
Certificate Expiration Date 6/29/2026
Facility Type Physician Office
Lab Director KEITH A. GRAY MD

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