10D2327399 CLIA NUMBER - NARRA PRIMARY CARE PLLC

Laboratory Demographics

  • CLIA Code: 10D2327399
  • Facility Name: NARRA PRIMARY CARE PLLC
  • Facility Address: 789 DOUGLAS AVE STE 137
    ALTAMONTE SPRINGS, FL
    ZIP 32714
  • Facility Phone: 407 925-4395
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: GERALDINE KIDARY
  • NPI Number: 1902630627
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2327399
LAB Type Practitioner Other
Facility Name NARRA PRIMARY CARE PLLC
Street 789 DOUGLAS AVE STE 137
City ALTAMONTE SPRINGS
State FL
ZIP 32714
Phone 407 925-4395
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Practitioner Other
Lab Director GERALDINE KIDARY

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