10D2308375 CLIA NUMBER - PRO MED PHYSICIANS

Laboratory Demographics

  • CLIA Code: 10D2308375
  • Facility Name: PRO MED PHYSICIANS
  • Facility Address: 9161 NARCOOSSEE RD SUITE B-209
    ORLANDO, FL
    ZIP 32827
  • Facility Phone: 321 300-2918
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARAH F. SIDDIQUI
  • NPI Number: 1124886098
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2308375
LAB Type Physician Office
Facility Name PRO MED PHYSICIANS
Street 9161 NARCOOSSEE RD SUITE B-209
City ORLANDO
State FL
ZIP 32827
Phone 321 300-2918
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Physician Office
Lab Director SARAH F. SIDDIQUI

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