10D1046385 CLIA NUMBER - WINTER PARK FAMILY PRACTICE LLC

Laboratory Demographics

  • CLIA Code: 10D1046385
  • Facility Name: WINTER PARK FAMILY PRACTICE LLC
  • Facility Address: 1400 S ORLANDO AVE #204
    WINTER PARK, FL
    ZIP 32789
  • Facility Phone: 407 647-4008
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN RADBILL DO
  • NPI Number: 1740268929
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1046385
LAB Type Physician Office
Facility Name WINTER PARK FAMILY PRACTICE LLC
Street 1400 S ORLANDO AVE #204
City WINTER PARK
State FL
ZIP 32789
Phone 407 647-4008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Physician Office
Lab Director KEVIN RADBILL DO

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