10D2264613 CLIA NUMBER - VIP FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 10D2264613
  • Facility Name: VIP FAMILY PRACTICE
  • Facility Address: 483 N SEMORAN BLVD, SUITE 210
    WINTER PARK, FL
    ZIP 32792
  • Facility Phone: 407 674-2044
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRANK J. YANEZ
  • NPI Number: 1669725552
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2264613
LAB Type Physician Office
Facility Name VIP FAMILY PRACTICE
Street 483 N SEMORAN BLVD, SUITE 210
City WINTER PARK
State FL
ZIP 32792
Phone 407 674-2044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Physician Office
Lab Director FRANK J. YANEZ

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