10D2285580 CLIA NUMBER - SGF ORLANDO LLC

Laboratory Demographics

CLIA Number: 10D2285580

Facility Name: SGF ORLANDO LLC

Facility Address:
7550 SANDLAKE COMMONS BLVD MEDPLEX B SUITE 2215
ORLANDO, FL
ZIP 32819
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Facility Phone Number: 301 545-1210

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1043904584

Taxonomy: 207VE0102X - Obstetrics & Gynecology
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

CLIA Record

Field Name	Field Value
CLIA Number	10D2285580
LAB Type	Physician Office
Facility Name	SGF ORLANDO LLC
Street	7550 SANDLAKE COMMONS BLVD MEDPLEX B SUITE 2215
City	ORLANDO
State	FL
ZIP	32819
Phone	301 545-1210
CertificateType	4
CertificateEffectiveDate	7/14/2023
CertificateExpirationDate	7/13/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024