10D0950873 CLIA NUMBER - RDV SPORTSPLEX PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D0950873
  • Facility Name: RDV SPORTSPLEX PEDIATRICS
  • Facility Address: 8701 MAITLAND SUMMIT BLVD
    ORLANDO, FL
    ZIP 32810
  • Facility Phone: 407 916-4520
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LARITSSA P. COBIAN
  • NPI Number: 1972679223
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0950873
LAB Type Physician Office
Facility Name RDV SPORTSPLEX PEDIATRICS
Street 8701 MAITLAND SUMMIT BLVD
City ORLANDO
State FL
ZIP 32810
Phone 407 916-4520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Physician Office
Lab Director LARITSSA P. COBIAN

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