10D0997961 CLIA NUMBER - KISSIMMEE ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 10D0997961
  • Facility Name: KISSIMMEE ENDOSCOPY CENTER
  • Facility Address: 715 OAK COMMONS BLVD
    KISSIMMEE, FL
    ZIP 34741
  • Facility Phone: 407 931-2816
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JAIME RIVERA
  • NPI Number: 1477595056
  • Taxonomy: 261QE0800X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0997961
LAB Type Ambulatory Surgery Center
Facility Name KISSIMMEE ENDOSCOPY CENTER
Street 715 OAK COMMONS BLVD
City KISSIMMEE
State FL
ZIP 34741
Phone 407 931-2816
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2024
Certificate Expiration Date 4/1/2026
Facility Type Ambulatory Surgery Center
Lab Director JAIME RIVERA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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