10D2169527 CLIA NUMBER - ORLANDO PHYSICIAN NETWORK

Laboratory Demographics

  • CLIA Code: 10D2169527
  • Facility Name: ORLANDO PHYSICIAN NETWORK
  • Facility Address: 901 N NARCOOSSEE RD
    SAINT CLOUD, FL
    ZIP 34771
  • Facility Phone: 407 649-7413
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIVIAN T. BARTLETT
  • NPI Number: 1285308593
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2169527
LAB Type Physician Office
Facility Name ORLANDO PHYSICIAN NETWORK
Street 901 N NARCOOSSEE RD
City SAINT CLOUD
State FL
ZIP 34771
Phone 407 649-7413
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Physician Office
Lab Director VIVIAN T. BARTLETT

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