10D2282527 CLIA NUMBER - CENTRAL PARK WELLNESS CLINIC INC

Laboratory Demographics

  • CLIA Code: 10D2282527
  • Facility Name: CENTRAL PARK WELLNESS CLINIC INC
  • Facility Address: 1713 W OAK RIDGE RD
    ORLANDO, FL
    ZIP 32809
  • Facility Phone: 407 580-5453
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: PHUONG V. TRAN
  • NPI Number: 1356027221
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2282527
LAB Type Practitioner Other
Facility Name CENTRAL PARK WELLNESS CLINIC INC
Street 1713 W OAK RIDGE RD
City ORLANDO
State FL
ZIP 32809
Phone 407 580-5453
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Practitioner Other
Lab Director PHUONG V. TRAN

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