10D2271378 CLIA NUMBER - WINTER PARK PLASTIC SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D2271378
  • Facility Name: WINTER PARK PLASTIC SURGERY CENTER
  • Facility Address: 340 N WYMORE ROAD SUITE 2
    WINTER PARK, FL
    ZIP 32789
  • Facility Phone: 407 673-3223
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN P. JOSEPH
  • NPI Number: 1326003187
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2271378
LAB Type Physician Office
Facility Name WINTER PARK PLASTIC SURGERY CENTER
Street 340 N WYMORE ROAD SUITE 2
City WINTER PARK
State FL
ZIP 32789
Phone 407 673-3223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director BRIAN P. JOSEPH

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