10D1098691 CLIA NUMBER - CENTRAL FLORIDA PRIMARY PHYSICIANS, LLC

Laboratory Demographics

  • CLIA Code: 10D1098691
  • Facility Name: CENTRAL FLORIDA PRIMARY PHYSICIANS, LLC
  • Facility Address: 1565 SAXON BLVD - STE 103
    DELTONA, FL
    ZIP 32725
  • Facility Phone: 386 574-1423
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SIMIN SALEHI
  • NPI Number: 1962714790
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1098691
LAB Type Physician Office
Facility Name CENTRAL FLORIDA PRIMARY PHYSICIANS, LLC
Street 1565 SAXON BLVD - STE 103
City DELTONA
State FL
ZIP 32725
Phone 386 574-1423
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Physician Office
Lab Director SIMIN SALEHI

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