10D2323872 CLIA NUMBER - FLORIDAMD CLINIC PA

Laboratory Demographics

  • CLIA Code: 10D2323872
  • Facility Name: FLORIDAMD CLINIC PA
  • Facility Address: 210 N WESTMONTE DRIVE #1001
    ALTAMONTE SPRINGS, FL
    ZIP 32714
  • Facility Phone: 407 663-0401
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE L. LOPEZ RIVERA
  • NPI Number: 1649064239
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2323872
LAB Type Physician Office
Facility Name FLORIDAMD CLINIC PA
Street 210 N WESTMONTE DRIVE #1001
City ALTAMONTE SPRINGS
State FL
ZIP 32714
Phone 407 663-0401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Physician Office
Lab Director JOSE L. LOPEZ RIVERA

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