10D1065276 CLIA NUMBER - TIMBER CREEK PEDIATRICS INC

Laboratory Demographics

  • CLIA Code: 10D1065276
  • Facility Name: TIMBER CREEK PEDIATRICS INC
  • Facility Address: 15212 EAST COLONIAL DRIVE
    ORLANDO, FL
    ZIP 32826
  • Facility Phone: 407 380-1777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAFAEL VENTURA
  • NPI Number: 1770783680
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1065276
LAB Type Physician Office
Facility Name TIMBER CREEK PEDIATRICS INC
Street 15212 EAST COLONIAL DRIVE
City ORLANDO
State FL
ZIP 32826
Phone 407 380-1777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Physician Office
Lab Director RAFAEL VENTURA

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