10D2285737 CLIA NUMBER - ORLANDO HEALTH MEDICAL GROUP

Laboratory Demographics

CLIA Number: 10D2285737

Facility Name: ORLANDO HEALTH MEDICAL GROUP

Facility Address:
1890 W COUNTY RD 419, STE 2010
OVIEDO, FL
ZIP 32765
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Facility Phone Number: 407 649-7413

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1568135515

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	10D2285737
LAB Type	Physician Office
Facility Name	ORLANDO HEALTH MEDICAL GROUP
Street	1890 W COUNTY RD 419, STE 2010
City	OVIEDO
State	FL
ZIP	32765
Phone	407 649-7413
CertificateType	3
CertificateEffectiveDate	7/18/2023
CertificateExpirationDate	7/17/2025
FacilityType	PPMP

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