10D2108812 CLIA NUMBER - AVALON PARK EYE CARE

Laboratory Demographics

  • CLIA Code: 10D2108812
  • Facility Name: AVALON PARK EYE CARE
  • Facility Address: 12001 AVALON LAKE DR STE J
    ORLANDO, FL
    ZIP 32828
  • Facility Phone: 407 567-9955
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KENNETH J. TESINSKY
  • NPI Number: 1053548313
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 10D2108812
LAB Type Practitioner Other
Facility Name AVALON PARK EYE CARE
Street 12001 AVALON LAKE DR STE J
City ORLANDO
State FL
ZIP 32828
Phone 407 567-9955
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Practitioner Other
Lab Director KENNETH J. TESINSKY

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