10D2075173 CLIA NUMBER - DG & LEEDS LLC DBA ORLANDO PAIN CLINIC

Laboratory Demographics

  • CLIA Code: 10D2075173
  • Facility Name: DG & LEEDS LLC DBA ORLANDO PAIN CLINIC
  • Facility Address: 280 S STATE ROAD 434 SUITE 1049
    ALTAMONTE SPRINGS, FL
    ZIP 32714
  • Facility Phone: 321 280-5052
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ERICH SALVADOR SCHOEN KIEWERT
  • NPI Number: 1053670018
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 10D2075173
LAB Type Practitioner Other
Facility Name DG & LEEDS LLC DBA ORLANDO PAIN CLINIC
Street 280 S STATE ROAD 434 SUITE 1049
City ALTAMONTE SPRINGS
State FL
ZIP 32714
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