10D2128903 CLIA NUMBER - EYE PHYSICIANS OF CENTRAL FLORIDA A DIVISION OF FLORIDA PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 10D2128903
  • Facility Name: EYE PHYSICIANS OF CENTRAL FLORIDA A DIVISION OF FLORIDA PEDIATRIC ASSOCIATES
  • Facility Address: 790 CONCOURSE PKWY, S STE 200 ATTN M HUSTON
    MAITLAND, FL
    ZIP 32751
  • Facility Phone: 407 767-6411
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LOUIS C. BLUMENFELD
  • NPI Number: 1003856782
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 10D2128903
LAB Type Physician Office
Facility Name EYE PHYSICIANS OF CENTRAL FLORIDA A DIVISION OF FLORIDA PEDIATRIC ASSOCIATES
Street 790 CONCOURSE PKWY, S STE 200 ATTN M HUSTON
City MAITLAND
State FL
ZIP 32751
Phone 407 767-6411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type Physician Office
Lab Director LOUIS C. BLUMENFELD

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