10D2137055 CLIA NUMBER - ORLANDO PHYSICIAN NETWORK

Laboratory Demographics

  • CLIA Code: 10D2137055
  • Facility Name: ORLANDO PHYSICIAN NETWORK
  • Facility Address: 3464 AVALON PARK EAST BLVD
    ORLANDO, FL
    ZIP 32828
  • Facility Phone: 407 635-3020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JANETTE H. NEGRON
  • NPI Number: 1720754997
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2137055
LAB Type Physician Office
Facility Name ORLANDO PHYSICIAN NETWORK
Street 3464 AVALON PARK EAST BLVD
City ORLANDO
State FL
ZIP 32828
Phone 407 635-3020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2025
Certificate Expiration Date 9/18/2027
Facility Type Physician Office
Lab Director JANETTE H. NEGRON

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