10D2189052 CLIA NUMBER - MICHAEL J D'AMBROSE MD PA

Laboratory Demographics

  • CLIA Code: 10D2189052
  • Facility Name: MICHAEL J D'AMBROSE MD PA
  • Facility Address: 7450 DR PHILLIPS BLVD SUITE 307
    ORLANDO, FL
    ZIP 32819
  • Facility Phone: 732 673-5762
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. DAMBROSE
  • NPI Number: 1821577164
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 10D2189052
LAB Type Physician Office
Facility Name MICHAEL J D'AMBROSE MD PA
Street 7450 DR PHILLIPS BLVD SUITE 307
City ORLANDO
State FL
ZIP 32819
Phone 732 673-5762
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Physician Office
Lab Director MICHAEL J. DAMBROSE

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This page was last updated on: 6/4/2025