10D2019651 CLIA NUMBER - MY ENDOCRINOLOGIST PA

Laboratory Demographics

  • CLIA Code: 10D2019651
  • Facility Name: MY ENDOCRINOLOGIST PA
  • Facility Address: 213 DILLARD ST STE 240
    WINTER GARDEN, FL
    ZIP 34787
  • Facility Phone: 407 409-8067
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIBEL MONTOYA
  • NPI Number: 1497059737
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2019651
LAB Type Physician Office
Facility Name MY ENDOCRINOLOGIST PA
Street 213 DILLARD ST STE 240
City WINTER GARDEN
State FL
ZIP 34787
Phone 407 409-8067
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Physician Office
Lab Director MARIBEL MONTOYA

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