10D2057755 CLIA NUMBER - ADVANCED PSYCHIATRIC GROUP

Laboratory Demographics

  • CLIA Code: 10D2057755
  • Facility Name: ADVANCED PSYCHIATRIC GROUP
  • Facility Address: 736 N MAGNOLIA ST
    ORLANDO, FL
    ZIP 32803
  • Facility Phone: 407 423-7149
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MORTEZA NADJAFI
  • NPI Number: 1316016637
  • Taxonomy: 2084A0401X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 10D2057755
LAB Type Physician Office
Facility Name ADVANCED PSYCHIATRIC GROUP
Street 736 N MAGNOLIA ST
City ORLANDO
State FL
ZIP 32803
Phone 407 423-7149
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Physician Office
Lab Director DR. MORTEZA NADJAFI

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