10D2151517 CLIA NUMBER - ST PETER MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 10D2151517
  • Facility Name: ST PETER MEDICAL GROUP INC
  • Facility Address: 339 CYPRESS PARKWAY STE 110
    KISSIMMEE, FL
    ZIP 34759
  • Facility Phone: 407 922-0240
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MIRIAM L. RIVERA-IRIZARRY
  • NPI Number: 1942795869
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2151517
LAB Type Physician Office
Facility Name ST PETER MEDICAL GROUP INC
Street 339 CYPRESS PARKWAY STE 110
City KISSIMMEE
State FL
ZIP 34759
Phone 407 922-0240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director MIRIAM L. RIVERA-IRIZARRY

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