10D2304586 CLIA NUMBER - HER GYN LLC

Laboratory Demographics

  • CLIA Code: 10D2304586
  • Facility Name: HER GYN LLC
  • Facility Address: 681 DOUGLAS AVE - STE 109
    ALTAMONTE SPRINGS, FL
    ZIP 32714
  • Facility Phone: 787 361-2974
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEBRA ORTIZ LEDEE
  • NPI Number: 1710747738
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2304586
LAB Type Physician Office
Facility Name HER GYN LLC
Street 681 DOUGLAS AVE - STE 109
City ALTAMONTE SPRINGS
State FL
ZIP 32714
Phone 787 361-2974
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type Physician Office
Lab Director DEBRA ORTIZ LEDEE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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