10D2055836 CLIA NUMBER - FLORIDA INSTITUTE FOR CLINICAL RESEARCH LLC

Laboratory Demographics

  • CLIA Code: 10D2055836
  • Facility Name: FLORIDA INSTITUTE FOR CLINICAL RESEARCH LLC
  • Facility Address: 10967 LAKE UNDERHILL RD STE 117
    ORLANDO, FL
    ZIP 32825
  • Facility Phone: 407 658-0966
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HUMBERTO CRUZ
  • NPI Number: 1992014369
  • Taxonomy: 111NR0400X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 10D2055836
LAB Type Physician Office
Facility Name FLORIDA INSTITUTE FOR CLINICAL RESEARCH LLC
Street 10967 LAKE UNDERHILL RD STE 117
City ORLANDO
State FL
ZIP 32825
Phone 407 658-0966
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Physician Office
Lab Director HUMBERTO CRUZ

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This page was last updated on: 6/4/2025