10D2175127 CLIA NUMBER - SPEKTRUM HEALTH, INC

Laboratory Demographics

  • CLIA Code: 10D2175127
  • Facility Name: SPEKTRUM HEALTH, INC
  • Facility Address: 5205 SOUTH ORANGE AVE SUITE #110
    ORLANDO, FL
    ZIP 32809
  • Facility Phone: 407 454-1363
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JOSEPH A. KNOLL
  • NPI Number: 1467921767
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2175127
LAB Type Community Clinic
Facility Name SPEKTRUM HEALTH, INC
Street 5205 SOUTH ORANGE AVE SUITE #110
City ORLANDO
State FL
ZIP 32809
Phone 407 454-1363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Community Clinic
Lab Director JOSEPH A. KNOLL

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