10D2119003 CLIA NUMBER - JAI HO DBA SANDLAKE MEDICAL WALK IN CLINIC

Laboratory Demographics

  • CLIA Code: 10D2119003
  • Facility Name: JAI HO DBA SANDLAKE MEDICAL WALK IN CLINIC
  • Facility Address: 1650 SAND LAKES RD STE 112-A
    ORLANDO, FL
    ZIP 32809
  • Facility Phone: (321) 298-5531
  • Facility Type: Other - WALK IN CLINIC
  • Facility Type: Waiver
  • Lab Director: KANTILAL BHALANI
  • NPI Number: 1609321454
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2119003
LAB Type Other - WALK IN CLINIC
Facility Name JAI HO DBA SANDLAKE MEDICAL WALK IN CLINIC
Street 1650 SAND LAKES RD STE 112-A
City ORLANDO
State FL
ZIP 32809
Phone 3212985531
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2024
Certificate Expiration Date 9/18/2026
Facility Type Other - WALK IN CLINIC
Lab Director KANTILAL BHALANI

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This page was last updated on: 5/18/2026