10D1020543 CLIA NUMBER - ORLANDO PRIMARY CARE PA

Laboratory Demographics

  • CLIA Code: 10D1020543
  • Facility Name: ORLANDO PRIMARY CARE PA
  • Facility Address: 6200 SILVER STAR RD
    ORLANDO, FL
    ZIP 32808
  • Facility Phone: 407 298-0912
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VENKAT R. NANDAM
  • NPI Number: 1336328012
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1020543
LAB Type Physician Office
Facility Name ORLANDO PRIMARY CARE PA
Street 6200 SILVER STAR RD
City ORLANDO
State FL
ZIP 32808
Phone 407 298-0912
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director VENKAT R. NANDAM

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