10D2052941 CLIA NUMBER - ORLANDO PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 10D2052941
  • Facility Name: ORLANDO PEDIATRICS LLC
  • Facility Address: 22 N JOHN PARKWAY
    KISSIMMEE, FL
    ZIP 34741
  • Facility Phone: 407 483-7925
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANENA GONZALEZ
  • NPI Number: 1740527142
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2052941
LAB Type Physician Office
Facility Name ORLANDO PEDIATRICS LLC
Street 22 N JOHN PARKWAY
City KISSIMMEE
State FL
ZIP 34741
Phone 407 483-7925
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Physician Office
Lab Director MANENA GONZALEZ

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