10D1088102 CLIA NUMBER - CENTRAL FLORIDA PHYSICIAN NETWORK LLC

Laboratory Demographics

  • CLIA Code: 10D1088102
  • Facility Name: CENTRAL FLORIDA PHYSICIAN NETWORK LLC
  • Facility Address: 1071 S SUN DR STE 1003
    LAKE MARY, FL
    ZIP 32746
  • Facility Phone: 407 302-2620
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARVIN J. YOUNG
  • NPI Number: 1871140988
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D1088102
LAB Type Physician Office
Facility Name CENTRAL FLORIDA PHYSICIAN NETWORK LLC
Street 1071 S SUN DR STE 1003
City LAKE MARY
State FL
ZIP 32746
Phone 407 302-2620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Physician Office
Lab Director MARVIN J. YOUNG

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