10D0999051 CLIA NUMBER - SUNNY MEDICAL PL

Laboratory Demographics

CLIA Number: 10D0999051

Facility Name: SUNNY MEDICAL PL

Facility Address:
11183 S ORANGE BLOSSOM TRL UNIT 204D
ORLANDO, FL
ZIP 32837
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Facility Phone Number: 407 850-0103

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1336249606

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0999051
LAB Type	Physician Office
Facility Name	SUNNY MEDICAL PL
Street	11183 S ORANGE BLOSSOM TRL UNIT 204D
City	ORLANDO
State	FL
ZIP	32837
Phone	407 850-0103
CertificateType	4
CertificateEffectiveDate	5/2/2024
CertificateExpirationDate	5/1/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024