10D2326736 CLIA NUMBER - BUENO CLINIC LLC

Laboratory Demographics

  • CLIA Code: 10D2326736
  • Facility Name: BUENO CLINIC LLC
  • Facility Address: 2921 SOUTH ORLANDO DRIVE SUITE 166
    SANFORD, FL
    ZIP 32773
  • Facility Phone: 321 285-9907
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ANTHONY J. MALDONADO
  • NPI Number: 1801689898
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2326736
LAB Type Community Clinic
Facility Name BUENO CLINIC LLC
Street 2921 SOUTH ORLANDO DRIVE SUITE 166
City SANFORD
State FL
ZIP 32773
Phone 321 285-9907
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Community Clinic
Lab Director ANTHONY J. MALDONADO

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