10D2257363 CLIA NUMBER - VMD PRIMARY PROVIDERS CENTRAL FLORIDA

Laboratory Demographics

  • CLIA Code: 10D2257363
  • Facility Name: VMD PRIMARY PROVIDERS CENTRAL FLORIDA
  • Facility Address: 3801 S ORLANDO DR
    SANFORD, FL
    ZIP 32773
  • Facility Phone: 407 798-8800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PATRICK J. FULLERTON
  • NPI Number: 1578235776
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2257363
LAB Type Physician Office
Facility Name VMD PRIMARY PROVIDERS CENTRAL FLORIDA
Street 3801 S ORLANDO DR
City SANFORD
State FL
ZIP 32773
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 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Physician Office
Lab Director PATRICK J. FULLERTON

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