10D2098079 CLIA NUMBER - MOON FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 10D2098079
  • Facility Name: MOON FAMILY PRACTICE
  • Facility Address: 7448 DOCS GROVE CIR STE 200
    ORLANDO, FL
    ZIP 32819
  • Facility Phone: 407 352-4632
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MUSARRAT P. MOON
  • NPI Number: 1649209917
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2098079
LAB Type Physician Office
Facility Name MOON FAMILY PRACTICE
Street 7448 DOCS GROVE CIR STE 200
City ORLANDO
State FL
ZIP 32819
Phone 407 352-4632
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Physician Office
Lab Director MUSARRAT P. MOON

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