10D1101255 CLIA NUMBER - ORLANDO PHYSICIAN NETWORK

Laboratory Demographics

  • CLIA Code: 10D1101255
  • Facility Name: ORLANDO PHYSICIAN NETWORK
  • Facility Address: 5151 WINTER GARDEN VINELAND ROAD SUITE 211
    WINDERMERE, FL
    ZIP 34786
  • Facility Phone: 407 649-7413
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERESITA ALICEA
  • NPI Number: 1205500519
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1101255
LAB Type Physician Office
Facility Name ORLANDO PHYSICIAN NETWORK
Street 5151 WINTER GARDEN VINELAND ROAD SUITE 211
City WINDERMERE
State FL
ZIP 34786
Phone 407 649-7413
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Physician Office
Lab Director TERESITA ALICEA

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