10D1095985 CLIA NUMBER - LEE VISTA PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D1095985
  • Facility Name: LEE VISTA PEDIATRICS
  • Facility Address: 815 WOODBURY RD STE 102
    ORLANDO, FL
    ZIP 32828
  • Facility Phone: 407 208-9870
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARACIA D. GAYOSO MD
  • NPI Number: 1093955940
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1095985
LAB Type Physician Office
Facility Name LEE VISTA PEDIATRICS
Street 815 WOODBURY RD STE 102
City ORLANDO
State FL
ZIP 32828
Phone 407 208-9870
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Physician Office
Lab Director MARACIA D. GAYOSO MD

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