10D2158239 CLIA NUMBER - WEST ORLANDO INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 10D2158239
  • Facility Name: WEST ORLANDO INTERNAL MEDICINE
  • Facility Address: 1551 BOREN DR SUITE B
    OCOEE, FL
    ZIP 34761
  • Facility Phone: 407 338-3939
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OSAMA M. ANSARI
  • NPI Number: 1417380031
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2158239
LAB Type Physician Office
Facility Name WEST ORLANDO INTERNAL MEDICINE
Street 1551 BOREN DR SUITE B
City OCOEE
State FL
ZIP 34761
Phone 407 338-3939
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/26/2024
Certificate Expiration Date 11/25/2026
Facility Type Physician Office
Lab Director OSAMA M. ANSARI

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