10D2189836 CLIA NUMBER - ORLANDO HEALTH MEDICAL GROUP

Laboratory Demographics

CLIA Number: 10D2189836

Facility Name: ORLANDO HEALTH MEDICAL GROUP

Facility Address:
931 N STATE ROAD 434
ALTAMONTE SPRINGS, FL
ZIP 32714
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Facility Phone Number: 407 649-7413

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1922029818

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D2189836
LAB Type	Physician Office
Facility Name	ORLANDO HEALTH MEDICAL GROUP
Street	931 N STATE ROAD 434
City	ALTAMONTE SPRINGS
State	FL
ZIP	32714
Phone	407 649-7413
CertificateType	4
CertificateEffectiveDate	9/11/2023
CertificateExpirationDate	9/10/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024