10D2134561 CLIA NUMBER - ORLANDO AVENUE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D2134561
  • Facility Name: ORLANDO AVENUE SURGERY CENTER
  • Facility Address: 1500 S ORLANDO AVENUE SUITE 100
    WINTER PARK, FL
    ZIP 32789
  • Facility Phone: 407 917-2601
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RANDALL A. LOY
  • NPI Number: 1295258416
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2134561
LAB Type Ambulatory Surgery Center
Facility Name ORLANDO AVENUE SURGERY CENTER
Street 1500 S ORLANDO AVENUE SUITE 100
City WINTER PARK
State FL
ZIP 32789
Phone 407 917-2601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Ambulatory Surgery Center
Lab Director RANDALL A. LOY

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