10D2194803 CLIA NUMBER - PLATINUM PRIMARY CARE PLLC

Laboratory Demographics

  • CLIA Code: 10D2194803
  • Facility Name: PLATINUM PRIMARY CARE PLLC
  • Facility Address: 2071 DUNDEE DRIVE
    WINTER PARK, FL
    ZIP 32792
  • Facility Phone: 347 681-4136
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASHA G. TOTA-MAHARAJ
  • NPI Number: 1861007726
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2194803
LAB Type Physician Office
Facility Name PLATINUM PRIMARY CARE PLLC
Street 2071 DUNDEE DRIVE
City WINTER PARK
State FL
ZIP 32792
Phone 347 681-4136
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Physician Office
Lab Director ASHA G. TOTA-MAHARAJ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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