10D2102843 CLIA NUMBER - DOC PAM PA

Laboratory Demographics

  • CLIA Code: 10D2102843
  • Facility Name: DOC PAM PA
  • Facility Address: 201 N LAKEMONT AVE STE 200
    WINTER PARK, FL
    ZIP 32792
  • Facility Phone: 321 203-4410
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAMELA C. TROUT
  • NPI Number: 1295106334
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2102843
LAB Type Physician Office
Facility Name DOC PAM PA
Street 201 N LAKEMONT AVE STE 200
City WINTER PARK
State FL
ZIP 32792
Phone 321 203-4410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Physician Office
Lab Director PAMELA C. TROUT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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