10D2161774 CLIA NUMBER - ORLANDO PHYSICIAN NETWORK

Laboratory Demographics

  • CLIA Code: 10D2161774
  • Facility Name: ORLANDO PHYSICIAN NETWORK
  • Facility Address: 17000 PORTER ROAD
    WINTER GARDEN, FL
    ZIP 34787
  • Facility Phone: 407 635-3210
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAMELA A. PONCE
  • NPI Number: 1679249858
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2161774
LAB Type Physician Office
Facility Name ORLANDO PHYSICIAN NETWORK
Street 17000 PORTER ROAD
City WINTER GARDEN
State FL
ZIP 34787
Phone 407 635-3210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Physician Office
Lab Director PAMELA A. PONCE

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