10D2049601 CLIA NUMBER - GUTTERIDGE JEANCHARLES MD PA

Home > CLIA Lookup > 10D2049601

Laboratory Demographics

CLIA Number: 10D2049601

Facility Name: GUTTERIDGE JEANCHARLES MD PA

Facility Address:
1781 PARK CENTER DR SUITE 120
ORLANDO, FL
ZIP 32835
Get Directions

Facility Phone Number: 407 914-2325

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1558622068

Taxonomy: 261QP2300X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	11/8/2022
CertificateExpirationDate	11/7/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024