10D2191610 CLIA NUMBER - ORLANDO PHYSICIAN NETWORK

Laboratory Demographics

  • CLIA Code: 10D2191610
  • Facility Name: ORLANDO PHYSICIAN NETWORK
  • Facility Address: 550 EAST SR 434 LONGWOOD
    LONGWOOD, FL
    ZIP 32750
  • Facility Phone: 407 649-7413
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH F. RAGNO
  • NPI Number: 1609540970
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2191610
LAB Type Physician Office
Facility Name ORLANDO PHYSICIAN NETWORK
Street 550 EAST SR 434 LONGWOOD
City LONGWOOD
State FL
ZIP 32750
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 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Physician Office
Lab Director JOSEPH F. RAGNO

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