10D2119226 CLIA NUMBER - OCOEE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D2119226
  • Facility Name: OCOEE PEDIATRICS
  • Facility Address: 1551 BOREN DR STE A
    OCOEE, FL
    ZIP 34761
  • Facility Phone: 407 395-2037
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAHID USMANI
  • NPI Number: 1912120627
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2119226
LAB Type Physician Office
Facility Name OCOEE PEDIATRICS
Street 1551 BOREN DR STE A
City OCOEE
State FL
ZIP 34761
Phone 407 395-2037
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Physician Office
Lab Director SHAHID USMANI

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This page was last updated on: 3/20/2025