10D2019721 CLIA NUMBER - FLA MEDICAL GROUP LLC

Laboratory Demographics

  • CLIA Code: 10D2019721
  • Facility Name: FLA MEDICAL GROUP LLC
  • Facility Address: 8609 FOREST CITY RD
    ORLANDO, FL
    ZIP 32810
  • Facility Phone: 407 293-1790
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BODO PYKO
  • NPI Number: 1770872814
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2019721
LAB Type Physician Office
Facility Name FLA MEDICAL GROUP LLC
Street 8609 FOREST CITY RD
City ORLANDO
State FL
ZIP 32810
Phone 407 293-1790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Physician Office
Lab Director BODO PYKO

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