10D2311430 CLIA NUMBER - AUDUBON GARDENS GROUP LLC

Laboratory Demographics

CLIA Code: 10D2311430
Facility Name: AUDUBON GARDENS GROUP LLC
Facility Address: 121 DRENNEN RD
ORLANDO, FL
ZIP 32806
Facility Phone: 786 252-8237
Facility Type: Home Health Agency
Facility Type: Waiver
Lab Director: ANTOINETTE MUNROE
NPI Number: 1770237158
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	10D2311430
LAB Type	Home Health Agency
Facility Name	AUDUBON GARDENS GROUP LLC
Street	121 DRENNEN RD
City	ORLANDO
State	FL
ZIP	32806
Phone	786 252-8237
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	9/23/2024
Certificate Expiration Date	9/22/2026
Facility Type	Home Health Agency
Lab Director	ANTOINETTE MUNROE

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