10D2244327 CLIA NUMBER - GSP HEALTHCARE LLC

Laboratory Demographics

  • CLIA Code: 10D2244327
  • Facility Name: GSP HEALTHCARE LLC
  • Facility Address: 2130 MICHIGAN AVE
    KISSIMMEE, FL
    ZIP 34744
  • Facility Phone: (407) 287-6735
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GOWRI ANBALAGAN
  • NPI Number: 1477978567
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2244327
LAB Type Pharmacy
Facility Name GSP HEALTHCARE LLC
Street 2130 MICHIGAN AVE
City KISSIMMEE
State FL
ZIP 34744
Phone 4072876735
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2025
Certificate Expiration Date 11/29/2027
Facility Type Pharmacy
Lab Director GOWRI ANBALAGAN

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This page was last updated on: 6/29/2026