10D2244398 CLIA NUMBER - INNOVAGE FLORIDA PACE II LLC

Laboratory Demographics

CLIA Code: 10D2244398
Facility Name: INNOVAGE FLORIDA PACE II LLC
Facility Address: 8410 ORANGE BLOSSOM TRAIL
ORLANDO, FL
ZIP 32809
Facility Phone: 844 204-7867
Facility Type: Other - PACE PROVIDER
Facility Type: Waiver
Lab Director: LUZ RAMOS-BONNER
NPI Number: 1316602899
Taxonomy: 251T00000X - Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

Map and Directions

Get Directions

CLIA Record

Field Name	Field Value
CLIA Number	10D2244398
LAB Type	Other - PACE PROVIDER
Facility Name	INNOVAGE FLORIDA PACE II LLC
Street	8410 ORANGE BLOSSOM TRAIL
City	ORLANDO
State	FL
ZIP	32809
Phone	844 204-7867
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	12/1/2023
Certificate Expiration Date	11/30/2025
Facility Type	Other - PACE PROVIDER
Lab Director	LUZ RAMOS-BONNER

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