10D0973138 CLIA NUMBER - JORGE GOMEZ MD PA

Laboratory Demographics

  • CLIA Code: 10D0973138
  • Facility Name: JORGE GOMEZ MD PA
  • Facility Address: 1355 S INTERNATIONAL PKWY STE 1451
    LAKE MARY, FL
    ZIP 32746
  • Facility Phone: 407 333-9888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JORGE GOMEZ
  • NPI Number: 1568443356
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0973138
LAB Type Physician Office
Facility Name JORGE GOMEZ MD PA
Street 1355 S INTERNATIONAL PKWY STE 1451
City LAKE MARY
State FL
ZIP 32746
Phone 407 333-9888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Physician Office
Lab Director JORGE GOMEZ

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