10D0289234 CLIA NUMBER - ADITHYA K GANDHI MD PLC

Laboratory Demographics

  • CLIA Code: 10D0289234
  • Facility Name: ADITHYA K GANDHI MD PLC
  • Facility Address: 511 MEDICAL OAKS AVE
    BRANDON, FL
    ZIP 33511
  • Facility Phone: 813 689-1912
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADITHYA K. GANDHI
  • NPI Number: 1790700052
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0289234
LAB Type Physician Office
Facility Name ADITHYA K GANDHI MD PLC
Street 511 MEDICAL OAKS AVE
City BRANDON
State FL
ZIP 33511
Phone 813 689-1912
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Physician Office
Lab Director ADITHYA K. GANDHI

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