10D1003678 CLIA NUMBER - PRIMARY CARE SPECIALISTS OF ORLANDO LLC

Laboratory Demographics

  • CLIA Code: 10D1003678
  • Facility Name: PRIMARY CARE SPECIALISTS OF ORLANDO LLC
  • Facility Address: 3615 S ORANGE AVE
    ORLANDO, FL
    ZIP 32806
  • Facility Phone: 407 855-2526
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID F. COWAN
  • NPI Number: 1831395797
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1003678
LAB Type Physician Office
Facility Name PRIMARY CARE SPECIALISTS OF ORLANDO LLC
Street 3615 S ORANGE AVE
City ORLANDO
State FL
ZIP 32806
Phone 407 855-2526
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Physician Office
Lab Director DAVID F. COWAN

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