10D2133463 CLIA NUMBER - CACERES SPECIALIZED GYNECOLOGY

Laboratory Demographics

  • CLIA Code: 10D2133463
  • Facility Name: CACERES SPECIALIZED GYNECOLOGY
  • Facility Address: 1136 CYPRESS GLEN CIRCLE
    KISSIMMEE, FL
    ZIP 34741
  • Facility Phone: 407 392-2777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AILEEN CACERES
  • NPI Number: 1073069159
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Physician Office
Lab Director AILEEN CACERES

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