10D2297868 CLIA NUMBER - RESTORA MEDICAL CORP

Laboratory Demographics

  • CLIA Code: 10D2297868
  • Facility Name: RESTORA MEDICAL CORP
  • Facility Address: 1515 PARK CENTER DR UNIT J
    ORLANDO, FL
    ZIP 32835
  • Facility Phone: 321 662-1649
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAROLD WATSON
  • NPI Number: 1255193124
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2297868
LAB Type Physician Office
Facility Name RESTORA MEDICAL CORP
Street 1515 PARK CENTER DR UNIT J
City ORLANDO
State FL
ZIP 32835
Phone 321 662-1649
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type Physician Office
Lab Director HAROLD WATSON

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