10D1102318 CLIA NUMBER - CONCENTRA - ORLANDO NORTH

Laboratory Demographics

  • CLIA Code: 10D1102318
  • Facility Name: CONCENTRA - ORLANDO NORTH
  • Facility Address: 4780 N ORANGE BLOSSOM TRL
    ORLANDO, FL
    ZIP 32837
  • Facility Phone: 407 206-3326
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DENISE L. AGATEP
  • NPI Number: 1124505128
  • Taxonomy: 261QU0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1102318
LAB Type Physician Office
Facility Name CONCENTRA - ORLANDO NORTH
Street 4780 N ORANGE BLOSSOM TRL
City ORLANDO
State FL
ZIP 32837
Phone 407 206-3326
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Physician Office
Lab Director DENISE L. AGATEP

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