10D2157865 CLIA NUMBER - ORLANDO PHYSICIAN NETWORK

Laboratory Demographics

  • CLIA Code: 10D2157865
  • Facility Name: ORLANDO PHYSICIAN NETWORK
  • Facility Address: 3356 CANOE CREEK RD
    SAINT CLOUD, FL
    ZIP 34772
  • Facility Phone: 407 891-2947
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIAAH H. WILLIAMS
  • NPI Number: 1528732872
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2157865
LAB Type Physician Office
Facility Name ORLANDO PHYSICIAN NETWORK
Street 3356 CANOE CREEK RD
City SAINT CLOUD
State FL
ZIP 34772
Phone 407 891-2947
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Physician Office
Lab Director MARIAAH H. WILLIAMS

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