10D2186058 CLIA NUMBER - ANCHOR DIRECT PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2186058
  • Facility Name: ANCHOR DIRECT PRIMARY CARE LLC
  • Facility Address: 2909 N ORANGE AVE SUITE 101
    ORLANDO, FL
    ZIP 32804
  • Facility Phone: 407 634-1690
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MATTHEW D. RENSBERRY
  • NPI Number: 1245726652
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2186058
LAB Type Physician Office
Facility Name ANCHOR DIRECT PRIMARY CARE LLC
Street 2909 N ORANGE AVE SUITE 101
City ORLANDO
State FL
ZIP 32804
Phone 407 634-1690
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/12/2024
Certificate Expiration Date 6/11/2026
Facility Type Physician Office
Lab Director MATTHEW D. RENSBERRY

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