10D0996127 CLIA NUMBER - CENTER FOR DIGESTIVE ENDOSCOPY

Laboratory Demographics

  • CLIA Code: 10D0996127
  • Facility Name: CENTER FOR DIGESTIVE ENDOSCOPY
  • Facility Address: 1817 NORTH MILLS AVE
    ORLANDO, FL
    ZIP 32803
  • Facility Phone: 407 241-3221
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HENRY LEVINE MD
  • NPI Number: 1750320099
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0996127
LAB Type Ambulatory Surgery Center
Facility Name CENTER FOR DIGESTIVE ENDOSCOPY
Street 1817 NORTH MILLS AVE
City ORLANDO
State FL
ZIP 32803
Phone 407 241-3221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2024
Certificate Expiration Date 2/10/2026
Facility Type Ambulatory Surgery Center
Lab Director HENRY LEVINE MD

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This page was last updated on: 6/4/2025