10D1074191 CLIA NUMBER - ADVENTHEALTH CENTRA CARE SOUTH ORANGE

Laboratory Demographics

  • CLIA Code: 10D1074191
  • Facility Name: ADVENTHEALTH CENTRA CARE SOUTH ORANGE
  • Facility Address: 2609 S ORANGE AVE
    ORLANDO, FL
    ZIP 32806
  • Facility Phone: 407 916-4540
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: TIMOTHY W. HENDRIX
  • NPI Number: 1538579685
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1074191
LAB Type Other
Facility Name ADVENTHEALTH CENTRA CARE SOUTH ORANGE
Street 2609 S ORANGE AVE
City ORLANDO
State FL
ZIP 32806
Phone 407 916-4540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2023
Certificate Expiration Date 9/24/2025
Facility Type Other
Lab Director TIMOTHY W. HENDRIX

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