10D2033700 CLIA NUMBER - PREMIER ENDOCRINOLOGY

Laboratory Demographics

  • CLIA Code: 10D2033700
  • Facility Name: PREMIER ENDOCRINOLOGY
  • Facility Address: 3004 17TH ST
    SAINT CLOUD, FL
    ZIP 34769
  • Facility Phone: 407 593-2910
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THERESA FYNN
  • NPI Number: 1033487426
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2033700
LAB Type Physician Office
Facility Name PREMIER ENDOCRINOLOGY
Street 3004 17TH ST
City SAINT CLOUD
State FL
ZIP 34769
Phone 407 593-2910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Physician Office
Lab Director THERESA FYNN

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