10D2115100 CLIA NUMBER - PRIXUS MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 10D2115100
  • Facility Name: PRIXUS MEDICAL GROUP
  • Facility Address: 5822 S SEMORAN BOULEVARD
    ORLANDO, FL
    ZIP 32822
  • Facility Phone: 407 720-3209
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAPHAEL BONES
  • NPI Number: 1881065324
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2115100
LAB Type Physician Office
Facility Name PRIXUS MEDICAL GROUP
Street 5822 S SEMORAN BOULEVARD
City ORLANDO
State FL
ZIP 32822
Phone 407 720-3209
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Physician Office
Lab Director RAPHAEL BONES

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