10D2128111 CLIA NUMBER - CENTRAL FLORIDA PHYSICIANS NETWORK LLC

Laboratory Demographics

  • CLIA Code: 10D2128111
  • Facility Name: CENTRAL FLORIDA PHYSICIANS NETWORK LLC
  • Facility Address: 8400 RED BUG LAKE ROAD SUITE 1040
    OVIEDO, FL
    ZIP 32765
  • Facility Phone: 407 890-3020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRAKASH N. MANIAM
  • NPI Number: 1982373718
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 10D2128111
LAB Type Physician Office
Facility Name CENTRAL FLORIDA PHYSICIANS NETWORK LLC
Street 8400 RED BUG LAKE ROAD SUITE 1040
City OVIEDO
State FL
ZIP 32765
Phone 407 890-3020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Physician Office
Lab Director PRAKASH N. MANIAM

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