10D1055360 CLIA NUMBER - ORAL HEAD AND NECK PATHOLOGY LABORATORY

Laboratory Demographics

  • CLIA Code: 10D1055360
  • Facility Name: ORAL HEAD AND NECK PATHOLOGY LABORATORY
  • Facility Address: 2131 WESTOVER RESERVE BLVD
    WINDERMERE, FL
    ZIP 34786
  • Facility Phone: 407 286-2330
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ROSA H. ROBINSON
  • NPI Number: 1558490029
  • Taxonomy: 1223P0106X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 10D1055360
LAB Type Physician Office
Facility Name ORAL HEAD AND NECK PATHOLOGY LABORATORY
Street 2131 WESTOVER RESERVE BLVD
City WINDERMERE
State FL
ZIP 34786
Phone 407 286-2330
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type Physician Office
Lab Director ROSA H. ROBINSON

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