10D2225536 CLIA NUMBER - KIDZMD LLC

Laboratory Demographics

  • CLIA Code: 10D2225536
  • Facility Name: KIDZMD LLC
  • Facility Address: 5979 VINELAND RD STE 111
    ORLANDO, FL
    ZIP 32819
  • Facility Phone: 407 492-2338
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTINE CHAN-RAGAZZO
  • NPI Number: 1386239663
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2225536
LAB Type Physician Office
Facility Name KIDZMD LLC
Street 5979 VINELAND RD STE 111
City ORLANDO
State FL
ZIP 32819
Phone 407 492-2338
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Physician Office
Lab Director CHRISTINE CHAN-RAGAZZO

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