10D2291663 CLIA NUMBER - VENTRE MEDICAL ASSOCIATE LLC MY PSYCHIATRIST DBA

Laboratory Demographics

  • CLIA Code: 10D2291663
  • Facility Name: VENTRE MEDICAL ASSOCIATE LLC MY PSYCHIATRIST DBA
  • Facility Address: 9685 LAKE NONA VILLAGE PLACE#103
    ORLANDO, FL
    ZIP 32827
  • Facility Phone: 954 232-0930
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER P. VENTRE
  • NPI Number: 1073818183
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 10D2291663
LAB Type Physician Office
Facility Name VENTRE MEDICAL ASSOCIATE LLC MY PSYCHIATRIST DBA
Street 9685 LAKE NONA VILLAGE PLACE#103
City ORLANDO
State FL
ZIP 32827
Phone 954 232-0930
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Physician Office
Lab Director PETER P. VENTRE

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