10D2297325 CLIA NUMBER - UPPERLINE HEALTHCARE PROFESSIONAL CORPORATION

Laboratory Demographics

  • CLIA Code: 10D2297325
  • Facility Name: UPPERLINE HEALTHCARE PROFESSIONAL CORPORATION
  • Facility Address: 1261 BLACKWOOD AVENUE
    OCOEE, FL
    ZIP 34761
  • Facility Phone: 713 392-2400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LORI N. STAR
  • NPI Number: 1821672262
  • Taxonomy: 213ES0131X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 10D2297325
LAB Type Physician Office
Facility Name UPPERLINE HEALTHCARE PROFESSIONAL CORPORATION
Street 1261 BLACKWOOD AVENUE
City OCOEE
State FL
ZIP 34761
Phone 713 392-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type Physician Office
Lab Director LORI N. STAR

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