10D2155310 CLIA NUMBER - SIMONMED IMAGING FLORIDA DBA SIMONMED IMAGING-KALEY II

Laboratory Demographics

  • CLIA Code: 10D2155310
  • Facility Name: SIMONMED IMAGING FLORIDA DBA SIMONMED IMAGING-KALEY II
  • Facility Address: 2121 S ORANGE AVE
    ORLANDO, FL
    ZIP 32806
  • Facility Phone: 602 320-3344
  • Facility Type: Other - OUTPATIENT IMAGING
  • Facility Type: Waiver
  • Lab Director: VIJITHA K. REDDY
  • NPI Number: 1366012353
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2155310
LAB Type Other - OUTPATIENT IMAGING
Facility Name SIMONMED IMAGING FLORIDA DBA SIMONMED IMAGING-KALEY II
Street 2121 S ORANGE AVE
City ORLANDO
State FL
ZIP 32806
Phone 602 320-3344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Other - OUTPATIENT IMAGING
Lab Director VIJITHA K. REDDY

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