10D2251550 CLIA NUMBER - VMD PRIMARY PROVIDERS CENTRAL FLORIDA PLLC

Laboratory Demographics

  • CLIA Code: 10D2251550
  • Facility Name: VMD PRIMARY PROVIDERS CENTRAL FLORIDA PLLC
  • Facility Address: 955 S WINTER PARK DR
    CASSELBERRY, FL
    ZIP 32707
  • Facility Phone: 407 798-8800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROSHAN K. PATEL
  • NPI Number: 1386316545
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2251550
LAB Type Physician Office
Facility Name VMD PRIMARY PROVIDERS CENTRAL FLORIDA PLLC
Street 955 S WINTER PARK DR
City CASSELBERRY
State FL
ZIP 32707
Phone 407 798-8800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2024
Certificate Expiration Date 2/2/2026
Facility Type Physician Office
Lab Director ROSHAN K. PATEL

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