10D2113235 CLIA NUMBER - ORLANDO PHYSICIAN NETWORK

Laboratory Demographics

  • CLIA Code: 10D2113235
  • Facility Name: ORLANDO PHYSICIAN NETWORK
  • Facility Address: 63 RILEY RD UNIT C1-C4
    CELEBRATION, FL
    ZIP 34747
  • Facility Phone: 407 930-6900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELA L. FIELDS
  • NPI Number: 1669146932
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2113235
LAB Type Physician Office
Facility Name ORLANDO PHYSICIAN NETWORK
Street 63 RILEY RD UNIT C1-C4
City CELEBRATION
State FL
ZIP 34747
Phone 407 930-6900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2024
Certificate Expiration Date 5/17/2026
Facility Type Physician Office
Lab Director ANGELA L. FIELDS

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