10D1104331 CLIA NUMBER - SYED T MUMTAZ MD PA

Laboratory Demographics

  • CLIA Code: 10D1104331
  • Facility Name: SYED T MUMTAZ MD PA
  • Facility Address: 1000 CYPRESS PARKWAY
    KISSIMMEE, FL
    ZIP 34741
  • Facility Phone: 407 944-4450
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SYED T. MUMTAZ
  • NPI Number: 1053346148
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D1104331
LAB Type Physician Office
Facility Name SYED T MUMTAZ MD PA
Street 1000 CYPRESS PARKWAY
City KISSIMMEE
State FL
ZIP 34741
Phone 407 944-4450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Physician Office
Lab Director SYED T. MUMTAZ

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