10D2018666 CLIA NUMBER - ORLANDO PHYSICIAN NETWORK INC

Laboratory Demographics

  • CLIA Code: 10D2018666
  • Facility Name: ORLANDO PHYSICIAN NETWORK INC
  • Facility Address: 1950 LAUREL MANOR STE 142
    THE VILLAGES, FL
    ZIP 32162
  • Facility Phone: 321 843-7712
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JILLIAN KEIGHRON
  • NPI Number: 1649277401
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2018666
LAB Type Physician Office
Facility Name ORLANDO PHYSICIAN NETWORK INC
Street 1950 LAUREL MANOR STE 142
City THE VILLAGES
State FL
ZIP 32162
Phone 321 843-7712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Physician Office
Lab Director JILLIAN KEIGHRON

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