10D0995398 CLIA NUMBER - ORLANDO PHYSICIAN NETWORK

Laboratory Demographics

  • CLIA Code: 10D0995398
  • Facility Name: ORLANDO PHYSICIAN NETWORK
  • Facility Address: 17325 PAGONIA RD
    CLERMONT, FL
    ZIP 34711
  • Facility Phone: 407 905-6014
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JILL P. WATSON
  • NPI Number: 1144993460
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0995398
LAB Type Physician Office
Facility Name ORLANDO PHYSICIAN NETWORK
Street 17325 PAGONIA RD
City CLERMONT
State FL
ZIP 34711
Phone 407 905-6014
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Physician Office
Lab Director JILL P. WATSON

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