10D2192521 CLIA NUMBER - ORLANDO PHYSICIAN NETWORK

Laboratory Demographics

  • CLIA Code: 10D2192521
  • Facility Name: ORLANDO PHYSICIAN NETWORK
  • Facility Address: 1111 W FAIRBANKS AVE STE 220
    WINTER PARK, FL
    ZIP 32789
  • Facility Phone: 407 649-7413
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PATRICE M. CATES-LONBERGER
  • NPI Number: 1487107942
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2192521
LAB Type Physician Office
Facility Name ORLANDO PHYSICIAN NETWORK
Street 1111 W FAIRBANKS AVE STE 220
City WINTER PARK
State FL
ZIP 32789
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 9/10/2024
Certificate Expiration Date 9/9/2026
Facility Type Physician Office
Lab Director PATRICE M. CATES-LONBERGER

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