10D1006017 CLIA NUMBER - PALM ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 10D1006017
  • Facility Name: PALM ENDOSCOPY CENTER
  • Facility Address: 623 MAITLAND AVE - STE 1100
    ALTAMONTE SPRINGS, FL
    ZIP 32701
  • Facility Phone: 407 478-0871
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JORGE ZAPATIER
  • NPI Number: 1518155811
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1006017
LAB Type Ambulatory Surgery Center
Facility Name PALM ENDOSCOPY CENTER
Street 623 MAITLAND AVE - STE 1100
City ALTAMONTE SPRINGS
State FL
ZIP 32701
Phone 407 478-0871
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type Ambulatory Surgery Center
Lab Director JORGE ZAPATIER

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