10D2167972 CLIA NUMBER - NOVA PSYCHIATRY INC

Laboratory Demographics

  • CLIA Code: 10D2167972
  • Facility Name: NOVA PSYCHIATRY INC
  • Facility Address: 1836 WOODWARD STREET SUITE A
    ORLANDO, FL
    ZIP 32803
  • Facility Phone: 407 883-9303
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID A. MEDINA
  • NPI Number: 1285075739
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 10D2167972
LAB Type Physician Office
Facility Name NOVA PSYCHIATRY INC
Street 1836 WOODWARD STREET SUITE A
City ORLANDO
State FL
ZIP 32803
Phone 407 883-9303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type Physician Office
Lab Director DAVID A. MEDINA

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