10D2069481 CLIA NUMBER - RITA LARACUENTE MD PA

Laboratory Demographics

  • CLIA Code: 10D2069481
  • Facility Name: RITA LARACUENTE MD PA
  • Facility Address: 14325 BENDING BRANCH CT
    ORLANDO, FL
    ZIP 32824
  • Facility Phone: 407 855-9905
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RITA LARACUENTE
  • NPI Number: 1871538462
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2069481
LAB Type Physician Office
Facility Name RITA LARACUENTE MD PA
Street 14325 BENDING BRANCH CT
City ORLANDO
State FL
ZIP 32824
Phone 407 855-9905
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2023
Certificate Expiration Date 11/24/2025
Facility Type Physician Office
Lab Director RITA LARACUENTE

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