10D2276452 CLIA NUMBER - RISING TIDE REFERENCE LABORATORY, LLC

Laboratory Demographics

  • CLIA Code: 10D2276452
  • Facility Name: RISING TIDE REFERENCE LABORATORY, LLC
  • Facility Address: 495 N US HIGHWAY 17- 92 SUITE 101
    LONGWOOD, FL
    ZIP 32750
  • Facility Phone: 407 721-3667
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. VIDHYA NARAYANAN
  • NPI Number: 1669170882
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D2276452
LAB Type Independent
Facility Name RISING TIDE REFERENCE LABORATORY, LLC
Street 495 N US HIGHWAY 17- 92 SUITE 101
City LONGWOOD
State FL
ZIP 32750
Phone 407 721-3667
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/30/2025
Certificate Expiration Date 5/29/2027
Facility Type Independent
Lab Director DR. VIDHYA NARAYANAN

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