10D2200791 CLIA NUMBER - ORLANDO PHYSICIAN NETWORK

Laboratory Demographics

  • CLIA Code: 10D2200791
  • Facility Name: ORLANDO PHYSICIAN NETWORK
  • Facility Address: 2565 ENTERPRISE RD SUITE 300
    ORANGE CITY, FL
    ZIP 32763
  • Facility Phone: 407 649-7413
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIANNE L. KYLE
  • NPI Number: 1033882352
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2200791
LAB Type Physician Office
Facility Name ORLANDO PHYSICIAN NETWORK
Street 2565 ENTERPRISE RD SUITE 300
City ORANGE CITY
State FL
ZIP 32763
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 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Physician Office
Lab Director DIANNE L. KYLE

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