10D2049601 CLIA NUMBER - GUTTERIDGE JEANCHARLES MD PA

Laboratory Demographics

  • CLIA Code: 10D2049601
  • Facility Name: GUTTERIDGE JEANCHARLES MD PA
  • Facility Address: 1781 PARK CENTER DR SUITE 120
    ORLANDO, FL
    ZIP 32835
  • Facility Phone: 407 914-2325
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GUTTERIDGE JEAN CHARLES
  • NPI Number: 1558622068
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2049601
LAB Type Physician Office
Facility Name GUTTERIDGE JEANCHARLES MD PA
Street 1781 PARK CENTER DR SUITE 120
City ORLANDO
State FL
ZIP 32835
Phone 407 914-2325
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Physician Office
Lab Director GUTTERIDGE JEAN CHARLES

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