10D2164539 CLIA NUMBER - ORLANDO PHYSICIAN NETWORK

Laboratory Demographics

  • CLIA Code: 10D2164539
  • Facility Name: ORLANDO PHYSICIAN NETWORK
  • Facility Address: 4932 WEST SR 46 SUITE 1090
    SANFORD, FL
    ZIP 32771
  • Facility Phone: 407 635-3330
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROSA PACHECO
  • NPI Number: 1649944901
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2164539
LAB Type Physician Office
Facility Name ORLANDO PHYSICIAN NETWORK
Street 4932 WEST SR 46 SUITE 1090
City SANFORD
State FL
ZIP 32771
Phone 407 635-3330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Physician Office
Lab Director ROSA PACHECO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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