10D2050737 CLIA NUMBER - SIMONMED IMAGING SAND LAKE

Laboratory Demographics

  • CLIA Code: 10D2050737
  • Facility Name: SIMONMED IMAGING SAND LAKE
  • Facility Address: 6000 TURKEY LAKE RD STE 107
    ORLANDO, FL
    ZIP 32819
  • Facility Phone: 407 264-7160
  • Facility Type: Other - MEDICAL RADIOLOGY
  • Facility Type: Waiver
  • Lab Director: VIJITHA REDDY
  • NPI Number: 1891365888
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2050737
LAB Type Other - MEDICAL RADIOLOGY
Facility Name SIMONMED IMAGING SAND LAKE
Street 6000 TURKEY LAKE RD STE 107
City ORLANDO
State FL
ZIP 32819
Phone 407 264-7160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Other - MEDICAL RADIOLOGY
Lab Director VIJITHA REDDY

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