10D2103612 CLIA NUMBER - WEST ORANGE MAITLAND DIALYSIS CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2103612
  • Facility Name: WEST ORANGE MAITLAND DIALYSIS CENTER LLC
  • Facility Address: 7960 FOREST CITY ROAD STE 105
    ORLANDO, FL
    ZIP 32810
  • Facility Phone: 407 297-8408
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MUHAMMAD ADNAN SALEEM MALIK
  • NPI Number: 1578534749
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2103612
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WEST ORANGE MAITLAND DIALYSIS CENTER LLC
Street 7960 FOREST CITY ROAD STE 105
City ORLANDO
State FL
ZIP 32810
Phone 407 297-8408
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2023
Certificate Expiration Date 10/15/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MUHAMMAD ADNAN SALEEM MALIK

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