10D1046032 CLIA NUMBER - JMJ FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 10D1046032
  • Facility Name: JMJ FAMILY PRACTICE
  • Facility Address: 300 N JOHN YOUNG PKWY
    KISSIMMEE, FL
    ZIP 34741
  • Facility Phone: 407 935-9012
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE R. FERNANDEZ MD
  • NPI Number: 1295828887
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1046032
LAB Type Physician Office
Facility Name JMJ FAMILY PRACTICE
Street 300 N JOHN YOUNG PKWY
City KISSIMMEE
State FL
ZIP 34741
Phone 407 935-9012
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Physician Office
Lab Director JOSE R. FERNANDEZ MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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