33D0136814 CLIA NUMBER - KHALID MANZUR MD

Laboratory Demographics

  • CLIA Code: 33D0136814
  • Facility Name: KHALID MANZUR MD
  • Facility Address: 1462 WEST OAK RIDGE ROAD
    ORLANDO, FL
    ZIP 32809
  • Facility Phone: 407 888-6990
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KHALID MANZUR
  • NPI Number: 1447223193
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0136814
LAB Type Physician Office
Facility Name KHALID MANZUR MD
Street 1462 WEST OAK RIDGE ROAD
City ORLANDO
State FL
ZIP 32809
Phone 407 888-6990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type Physician Office
Lab Director KHALID MANZUR

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