10D2012726 CLIA NUMBER - ORLANDO PHYSICIAN NETWORK

Laboratory Demographics

  • CLIA Code: 10D2012726
  • Facility Name: ORLANDO PHYSICIAN NETWORK
  • Facility Address: 2731 S MAGUIRE RD
    OCOEE, FL
    ZIP 34761
  • Facility Phone: 407 877-1990
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMY JACKSON
  • NPI Number: 1609549153
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2012726
LAB Type Physician Office
Facility Name ORLANDO PHYSICIAN NETWORK
Street 2731 S MAGUIRE RD
City OCOEE
State FL
ZIP 34761
Phone 407 877-1990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Physician Office
Lab Director AMY JACKSON

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