10D1064237 CLIA NUMBER - ORLANDO PHYSICIAN NETWORK

Laboratory Demographics

  • CLIA Code: 10D1064237
  • Facility Name: ORLANDO PHYSICIAN NETWORK
  • Facility Address: 1330 BUDINGER AVE STE 108
    SAINT CLOUD, FL
    ZIP 34769
  • Facility Phone: 407 892-3387
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUKASZ E. GIERUT
  • NPI Number: 1033882410
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1064237
LAB Type Physician Office
Facility Name ORLANDO PHYSICIAN NETWORK
Street 1330 BUDINGER AVE STE 108
City SAINT CLOUD
State FL
ZIP 34769
Phone 407 892-3387
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 LUKASZ E. GIERUT

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