10D1074110 CLIA NUMBER - FELIX R MARICHAL MD PA

Laboratory Demographics

  • CLIA Code: 10D1074110
  • Facility Name: FELIX R MARICHAL MD PA
  • Facility Address: 11602 LAKE UNDERHILL RD STE 115 & 116
    ORLANDO, FL
    ZIP 32825
  • Facility Phone: 407 681-1800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FELIX R. MARICHAL
  • NPI Number: 1326080581
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D1074110
LAB Type Physician Office
Facility Name FELIX R MARICHAL MD PA
Street 11602 LAKE UNDERHILL RD STE 115 & 116
City ORLANDO
State FL
ZIP 32825
Phone 407 681-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2023
Certificate Expiration Date 9/23/2025
Facility Type Physician Office
Lab Director FELIX R. MARICHAL

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This page was last updated on: 3/20/2025