10D2278306 CLIA NUMBER - VIDA HEALTH CENTRE LLC

Laboratory Demographics

  • CLIA Code: 10D2278306
  • Facility Name: VIDA HEALTH CENTRE LLC
  • Facility Address: 5979 VINELAND ROAD SUITE 209
    ORLANDO, FL
    ZIP 32819
  • Facility Phone: 407 250-5030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMARILYS COLON
  • NPI Number: 1346953924
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2278306
LAB Type Physician Office
Facility Name VIDA HEALTH CENTRE LLC
Street 5979 VINELAND ROAD SUITE 209
City ORLANDO
State FL
ZIP 32819
Phone 407 250-5030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Physician Office
Lab Director AMARILYS COLON

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