10D2098664 CLIA NUMBER - PRC ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 10D2098664
  • Facility Name: PRC ASSOCIATES LLC
  • Facility Address: 761 STIRLING CENTER PL
    LAKE MARY, FL
    ZIP 32746
  • Facility Phone: 407 732-7682
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MALIK K. VINOD
  • NPI Number: 1154705770
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2098664
LAB Type Physician Office
Facility Name PRC ASSOCIATES LLC
Street 761 STIRLING CENTER PL
City LAKE MARY
State FL
ZIP 32746
Phone 407 732-7682
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Physician Office
Lab Director MALIK K. VINOD

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