10D2133463 CLIA NUMBER - CACERES SPECIALIZED GYNECOLOGY

Laboratory Demographics

CLIA Number: 10D2133463

Facility Name: CACERES SPECIALIZED GYNECOLOGY

Facility Address:
1136 CYPRESS GLEN CIRCLE
KISSIMMEE, FL
ZIP 34741
Get Directions

Facility Phone Number: 407 392-2777

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1073069159

Taxonomy: 207VG0400X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	10D2133463
LAB Type	Physician Office
Facility Name	CACERES SPECIALIZED GYNECOLOGY
Street	1136 CYPRESS GLEN CIRCLE
City	KISSIMMEE
State	FL
ZIP	34741
Phone	407 392-2777
CertificateType	4
CertificateEffectiveDate	7/13/2023
CertificateExpirationDate	7/12/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024