10D2024815 CLIA NUMBER - FLORIDA FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 10D2024815
  • Facility Name: FLORIDA FAMILY MEDICINE
  • Facility Address: 2120 MICHIGAN AVE
    KISSIMMEE, FL
    ZIP 34744
  • Facility Phone: 407 201-9834
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LATCHMAN S. HARDOWAR
  • NPI Number: 1235363375
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2024815
LAB Type Physician Office
Facility Name FLORIDA FAMILY MEDICINE
Street 2120 MICHIGAN AVE
City KISSIMMEE
State FL
ZIP 34744
Phone 407 201-9834
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Physician Office
Lab Director LATCHMAN S. HARDOWAR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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