10D2176166 CLIA NUMBER - ORLANDO PHYSICIAN NETWORK

Laboratory Demographics

  • CLIA Code: 10D2176166
  • Facility Name: ORLANDO PHYSICIAN NETWORK
  • Facility Address: 1170 CYPRESS GLEN CIRCLE
    KISSIMMEE, FL
    ZIP 34741
  • Facility Phone: 407 649-7413
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIORCA S. AQUINO DE LA CRUZ
  • NPI Number: 1013533975
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2176166
LAB Type Physician Office
Facility Name ORLANDO PHYSICIAN NETWORK
Street 1170 CYPRESS GLEN CIRCLE
City KISSIMMEE
State FL
ZIP 34741
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DIORCA S. AQUINO DE LA CRUZ

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