10D2187581 CLIA NUMBER - ORLANDO HEALTH EMERGENCY DEPARTMENT AND MEDICAL PAVILLION LAKE MARY

Laboratory Demographics

  • CLIA Code: 10D2187581
  • Facility Name: ORLANDO HEALTH EMERGENCY DEPARTMENT AND MEDICAL PAVILLION LAKE MARY
  • Facility Address: 392 RINEHART RD SUITE 2050
    LAKE MARY, FL
    ZIP 32746
  • Facility Phone: 321 842-0632
  • Facility Type: Other - HOSPITAL OUTPATIENT REHAB
  • Facility Type: Waiver
  • Lab Director: SALVADOR N. LANZA
  • NPI Number: 1528616596
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2187581
LAB Type Other - HOSPITAL OUTPATIENT REHAB
Facility Name ORLANDO HEALTH EMERGENCY DEPARTMENT AND MEDICAL PAVILLION LAKE MARY
Street 392 RINEHART RD SUITE 2050
City LAKE MARY
State FL
ZIP 32746
Phone 321 842-0632
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Other - HOSPITAL OUTPATIENT REHAB
Lab Director SALVADOR N. LANZA

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