10D2273858 CLIA NUMBER - KEILER HEBERTO MORENO RIVERO PA

Laboratory Demographics

  • CLIA Code: 10D2273858
  • Facility Name: KEILER HEBERTO MORENO RIVERO PA
  • Facility Address: 2400 SOUTH CHICKSAW TRAIL
    ORLANDO, FL
    ZIP 32825
  • Facility Phone: 407 237-7014
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEILER HEBERTO MORENO RIVERO
  • NPI Number: 1861974073
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2273858
LAB Type Physician Office
Facility Name KEILER HEBERTO MORENO RIVERO PA
Street 2400 SOUTH CHICKSAW TRAIL
City ORLANDO
State FL
ZIP 32825
Phone 407 237-7014
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Physician Office
Lab Director KEILER HEBERTO MORENO RIVERO

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