10D2277059 CLIA NUMBER - ORLANDO PHYSICIAN NETWORK

Laboratory Demographics

  • CLIA Code: 10D2277059
  • Facility Name: ORLANDO PHYSICIAN NETWORK
  • Facility Address: 5558 LAKE HOWELL RD
    WINTER PARK, FL
    ZIP 32792
  • Facility Phone: 407 649-7413
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERTO K. LUCERO
  • NPI Number: 1346599016
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 10D2277059
LAB Type Physician Office
Facility Name ORLANDO PHYSICIAN NETWORK
Street 5558 LAKE HOWELL RD
City WINTER PARK
State FL
ZIP 32792
Phone 407 649-7413
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Physician Office
Lab Director ROBERTO K. LUCERO

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