10D2080999 CLIA NUMBER - ORLANDO PORTAL MD INC

Laboratory Demographics

  • CLIA Code: 10D2080999
  • Facility Name: ORLANDO PORTAL MD INC
  • Facility Address: 13150 VAIL RIDGE DRIVE
    RIVERVIEW, FL
    ZIP 33579
  • Facility Phone: 813 374-8883
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ORLANDO PORTAL
  • NPI Number: 1366626111
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2080999
LAB Type Physician Office
Facility Name ORLANDO PORTAL MD INC
Street 13150 VAIL RIDGE DRIVE
City RIVERVIEW
State FL
ZIP 33579
Phone 813 374-8883
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Physician Office
Lab Director ORLANDO PORTAL

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