10D2268076 CLIA NUMBER - PORIS PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 10D2268076
  • Facility Name: PORIS PLASTIC SURGERY
  • Facility Address: 324 EAST PAR ST SUITE 100
    ORLANDO, FL
    ZIP 32804
  • Facility Phone: 407 558-1616
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHENIE PORIS
  • NPI Number: 1205411642
  • Taxonomy: 208200000X - Plastic Surgery

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2268076
LAB Type Physician Office
Facility Name PORIS PLASTIC SURGERY
Street 324 EAST PAR ST SUITE 100
City ORLANDO
State FL
ZIP 32804
Phone 407 558-1616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Physician Office
Lab Director STEPHENIE PORIS

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