10D2190678 CLIA NUMBER - ORLANDO HEALTH PHYSICIAN GROUP

Laboratory Demographics

  • CLIA Code: 10D2190678
  • Facility Name: ORLANDO HEALTH PHYSICIAN GROUP
  • Facility Address: 11739 NARCOOSSEE RS SUITE 300
    ORLANDO, FL
    ZIP 32832
  • Facility Phone: 407 649-7413
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADRIAN K. AMBROSE
  • NPI Number: 1215684311
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2190678
LAB Type Physician Office
Facility Name ORLANDO HEALTH PHYSICIAN GROUP
Street 11739 NARCOOSSEE RS SUITE 300
City ORLANDO
State FL
ZIP 32832
Phone 407 649-7413
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director ADRIAN K. AMBROSE

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