10D2075172 CLIA NUMBER - DG & LEEDS LLC DBA ORLANDO PAIN CLINIC

Laboratory Demographics

  • CLIA Code: 10D2075172
  • Facility Name: DG & LEEDS LLC DBA ORLANDO PAIN CLINIC
  • Facility Address: 7655 S ORANGE BLOSSOM TRAIL
    ORLANDO, FL
    ZIP 32809
  • Facility Phone: 321 280-5052
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ERICH SALVADOR SCHOEN KIEWERT
  • NPI Number: 1376761031
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2075172
LAB Type Practitioner Other
Facility Name DG & LEEDS LLC DBA ORLANDO PAIN CLINIC
Street 7655 S ORANGE BLOSSOM TRAIL
City ORLANDO
State FL
ZIP 32809
Phone 321 280-5052
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Practitioner Other
Lab Director ERICH SALVADOR SCHOEN KIEWERT

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