10D2311462 CLIA NUMBER - BANNEL ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 10D2311462
  • Facility Name: BANNEL ASSOCIATES LLC
  • Facility Address: 405 W OAK ST
    KISSIMMEE, FL
    ZIP 34741
  • Facility Phone: 407 955-6719
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ORLY PENA
  • NPI Number: 1215623665
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2311462
LAB Type Physician Office
Facility Name BANNEL ASSOCIATES LLC
Street 405 W OAK ST
City KISSIMMEE
State FL
ZIP 34741
Phone 407 955-6719
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 Physician Office
Lab Director ORLY PENA

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