10D2296202 CLIA NUMBER - ZAMZAM WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 10D2296202
  • Facility Name: ZAMZAM WELLNESS LLC
  • Facility Address: 1400 SOUTH ORLANDO AVE SUITE 210
    WINTER PARK, FL
    ZIP 32789
  • Facility Phone: 407 409-8807
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DOMINIQUE A. DILORENZO
  • NPI Number: 1700692670
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2296202
LAB Type Physician Office
Facility Name ZAMZAM WELLNESS LLC
Street 1400 SOUTH ORLANDO AVE SUITE 210
City WINTER PARK
State FL
ZIP 32789
Phone 407 409-8807
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/22/2023
Certificate Expiration Date 12/21/2025
Facility Type Physician Office
Lab Director DOMINIQUE A. DILORENZO

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