10D2221198 CLIA NUMBER - GREEN HEALTH SERVICES LLC

Laboratory Demographics

  • CLIA Code: 10D2221198
  • Facility Name: GREEN HEALTH SERVICES LLC
  • Facility Address: 5401 S KIRKMAN RD STE 310
    ORLANDO, FL
    ZIP 32819
  • Facility Phone: 407 759-3311
  • Facility Type: Other - NURSE PRACTIONER
  • Facility Type: Waiver
  • Lab Director: KIM S. WILLIAMS
  • NPI Number: 1598361677
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2221198
LAB Type Other - NURSE PRACTIONER
Facility Name GREEN HEALTH SERVICES LLC
Street 5401 S KIRKMAN RD STE 310
City ORLANDO
State FL
ZIP 32819
Phone 407 759-3311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Other - NURSE PRACTIONER
Lab Director KIM S. WILLIAMS

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