10D2065096 CLIA NUMBER - WINTER PARK PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D2065096
  • Facility Name: WINTER PARK PRIMARY CARE
  • Facility Address: 942 LAKE BALDWIN LANE
    ORLANDO, FL
    ZIP 32814
  • Facility Phone: 321 285-6363
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NEHA DOSHI
  • NPI Number: 1588902415
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2065096
LAB Type Physician Office
Facility Name WINTER PARK PRIMARY CARE
Street 942 LAKE BALDWIN LANE
City ORLANDO
State FL
ZIP 32814
Phone 321 285-6363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2025
Certificate Expiration Date 9/2/2027
Facility Type Physician Office
Lab Director NEHA DOSHI

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