10D2145983 CLIA NUMBER - ORLANDO PHYSICIAN NETWORK

Laboratory Demographics

  • CLIA Code: 10D2145983
  • Facility Name: ORLANDO PHYSICIAN NETWORK
  • Facility Address: 1300 KEVSTIN DRIVE
    KISSIMMEE, FL
    ZIP 34744
  • Facility Phone: 321 442-1214
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LORI WHITE
  • NPI Number: 1609549070
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2145983
LAB Type Physician Office
Facility Name ORLANDO PHYSICIAN NETWORK
Street 1300 KEVSTIN DRIVE
City KISSIMMEE
State FL
ZIP 34744
Phone 321 442-1214
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Physician Office
Lab Director LORI WHITE

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