10D2183873 CLIA NUMBER - PASHA CROWN LLC

Laboratory Demographics

  • CLIA Code: 10D2183873
  • Facility Name: PASHA CROWN LLC
  • Facility Address: 1420 CELEBRATION BLVD SUITE 314A
    KISSIMMEE, FL
    ZIP 34747
  • Facility Phone: 321 939-4069
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARASH G. PASHA
  • NPI Number: 1760043186
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2183873
LAB Type Physician Office
Facility Name PASHA CROWN LLC
Street 1420 CELEBRATION BLVD SUITE 314A
City KISSIMMEE
State FL
ZIP 34747
Phone 321 939-4069
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Physician Office
Lab Director ARASH G. PASHA

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