10D1020551 CLIA NUMBER - ORLANDO PHYSICIAN NETWORK

Laboratory Demographics

  • CLIA Code: 10D1020551
  • Facility Name: ORLANDO PHYSICIAN NETWORK
  • Facility Address: 4750 THE GROVE DR STE 250
    WINDERMERE, FL
    ZIP 34786
  • Facility Phone: 407 354-0717
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CAROLINE N. NGUYEN-MIN
  • NPI Number: 1942974209
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1020551
LAB Type Physician Office
Facility Name ORLANDO PHYSICIAN NETWORK
Street 4750 THE GROVE DR STE 250
City WINDERMERE
State FL
ZIP 34786
Phone 407 354-0717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2024
Certificate Expiration Date 2/17/2026
Facility Type Physician Office
Lab Director CAROLINE N. NGUYEN-MIN

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