10D1026784 CLIA NUMBER - HEALTH FIRST PRIVIA MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 10D1026784
  • Facility Name: HEALTH FIRST PRIVIA MEDICAL GROUP
  • Facility Address: 3008 17TH ST
    SAINT CLOUD, FL
    ZIP 34769
  • Facility Phone: 407 892-5856
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERNEST A. CHUNG
  • NPI Number: 1265404735
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1026784
LAB Type Physician Office
Facility Name HEALTH FIRST PRIVIA MEDICAL GROUP
Street 3008 17TH ST
City SAINT CLOUD
State FL
ZIP 34769
Phone 407 892-5856
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Physician Office
Lab Director ERNEST A. CHUNG

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