10D0962393 CLIA NUMBER - SUNSTATE MEDICAL ASSOCIATES PA

Laboratory Demographics

  • CLIA Code: 10D0962393
  • Facility Name: SUNSTATE MEDICAL ASSOCIATES PA
  • Facility Address: 758 N SUN DR STE 104
    LAKE MARY, FL
    ZIP 32746
  • Facility Phone: 407 333-3303
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ZIA A. FATEMI
  • NPI Number: 1780862094
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 10D0962393
LAB Type Physician Office
Facility Name SUNSTATE MEDICAL ASSOCIATES PA
Street 758 N SUN DR STE 104
City LAKE MARY
State FL
ZIP 32746
Phone 407 333-3303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Physician Office
Lab Director ZIA A. FATEMI

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