10D2126226 CLIA NUMBER - WEST ORANGE ENDOCRINOLGY PA

Laboratory Demographics

  • CLIA Code: 10D2126226
  • Facility Name: WEST ORANGE ENDOCRINOLGY PA
  • Facility Address: 1510 CITRUS MEDICAL COURT
    OCOEE, FL
    ZIP 34761
  • Facility Phone: 407 480-4830
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE MANDRY
  • NPI Number: 1225688237
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2126226
LAB Type Physician Office
Facility Name WEST ORANGE ENDOCRINOLGY PA
Street 1510 CITRUS MEDICAL COURT
City OCOEE
State FL
ZIP 34761
Phone 407 480-4830
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Physician Office
Lab Director JOSE MANDRY

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