10D0275875 CLIA NUMBER - RAJIVE K DAS MD

Laboratory Demographics

  • CLIA Code: 10D0275875
  • Facility Name: RAJIVE K DAS MD
  • Facility Address: 1071 PORT MALABAR BLVD NE STE 111
    PALM BAY, FL
    ZIP 32905
  • Facility Phone: 321 725-9800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAJIVE K. DAS
  • NPI Number: 1659348548
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0275875
LAB Type Physician Office
Facility Name RAJIVE K DAS MD
Street 1071 PORT MALABAR BLVD NE STE 111
City PALM BAY
State FL
ZIP 32905
Phone 321 725-9800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2025
Certificate Expiration Date 10/20/2027
Facility Type Physician Office
Lab Director RAJIVE K. DAS

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