10D1017179 CLIA NUMBER - JOHN LITTELL MD PA

Laboratory Demographics

  • CLIA Code: 10D1017179
  • Facility Name: JOHN LITTELL MD PA
  • Facility Address: 300 PARK PLACE BLVD
    KISSIMMEE, FL
    ZIP 34741
  • Facility Phone: 407 343-1711
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN T. LITTELL MD
  • NPI Number: 1609896323
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1017179
LAB Type Physician Office
Facility Name JOHN LITTELL MD PA
Street 300 PARK PLACE BLVD
City KISSIMMEE
State FL
ZIP 34741
Phone 407 343-1711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Physician Office
Lab Director JOHN T. LITTELL MD

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