10D2318667 CLIA NUMBER - TRICOUNTY PSYCHAITRIC ASSOCIATES PA DBA BRAIN & MIND INSTITUTE

Laboratory Demographics

  • CLIA Code: 10D2318667
  • Facility Name: TRICOUNTY PSYCHAITRIC ASSOCIATES PA DBA BRAIN & MIND INSTITUTE
  • Facility Address: 1505 E MICHIGAN ST
    ORLANDO, FL
    ZIP 32806
  • Facility Phone: 407 477-5698
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AFTAB QADIR
  • NPI Number: 1992853683
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 10D2318667
LAB Type Physician Office
Facility Name TRICOUNTY PSYCHAITRIC ASSOCIATES PA DBA BRAIN & MIND INSTITUTE
Street 1505 E MICHIGAN ST
City ORLANDO
State FL
ZIP 32806
Phone 407 477-5698
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Physician Office
Lab Director AFTAB QADIR

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