10D2192989 CLIA NUMBER - ORLANDO HEALTH MEDICAL GROUP

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Laboratory Demographics

CLIA Number: 10D2192989

Facility Name: ORLANDO HEALTH MEDICAL GROUP

Facility Address:
4932 W STATE RD 46 SUITE 1090
SANFORD, FL
ZIP 32771
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Facility Phone Number: 407 649-7413

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1417620022

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	10D2192989
LAB Type	Physician Office
Facility Name	ORLANDO HEALTH MEDICAL GROUP
Street	4932 W STATE RD 46 SUITE 1090
City	SANFORD
State	FL
ZIP	32771
Phone	407 649-7413
CertificateType	3
CertificateEffectiveDate	9/16/2022
CertificateExpirationDate	9/15/2024
FacilityType	PPMP

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