10D2074295 CLIA NUMBER - SONI FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 10D2074295
  • Facility Name: SONI FAMILY PRACTICE
  • Facility Address: 1060 CYPRESS PARKWAY UNIT 101
    KISSIMMEE, FL
    ZIP 34759
  • Facility Phone: 863 588-4775
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMBICA SONI
  • NPI Number: 1083957583
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2074295
LAB Type Physician Office
Facility Name SONI FAMILY PRACTICE
Street 1060 CYPRESS PARKWAY UNIT 101
City KISSIMMEE
State FL
ZIP 34759
Phone 863 588-4775
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Physician Office
Lab Director AMBICA SONI

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