10D1064233 CLIA NUMBER - ORLANDO HEALTH MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 10D1064233
  • Facility Name: ORLANDO HEALTH MEDICAL GROUP INC
  • Facility Address: 1330 BUDINGER AVE STE 206
    SAINT CLOUD, FL
    ZIP 34769
  • Facility Phone: 321 843-7712
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AXEL W. ANDERSON
  • NPI Number: 1518382647
  • Taxonomy: 207RG0100X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1064233
LAB Type Physician Office
Facility Name ORLANDO HEALTH MEDICAL GROUP INC
Street 1330 BUDINGER AVE STE 206
City SAINT CLOUD
State FL
ZIP 34769
Phone 321 843-7712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Physician Office
Lab Director AXEL W. ANDERSON

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