10D2314575 CLIA NUMBER - ORANGE DOCTORS GROUP LLC

Laboratory Demographics

  • CLIA Code: 10D2314575
  • Facility Name: ORANGE DOCTORS GROUP LLC
  • Facility Address: 1000 PARK CENTRE BLVD SUITE 108
    MIAMI GARDENS, FL
    ZIP 33169
  • Facility Phone: 866 370-4022
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ERICKSON A. BALDERA GARCES
  • NPI Number: 1265248017
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2314575
LAB Type Community Clinic
Facility Name ORANGE DOCTORS GROUP LLC
Street 1000 PARK CENTRE BLVD SUITE 108
City MIAMI GARDENS
State FL
ZIP 33169
Phone 866 370-4022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2024
Certificate Expiration Date 11/21/2026
Facility Type Community Clinic
Lab Director ERICKSON A. BALDERA GARCES

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