10D0677517 CLIA NUMBER - DELAND PEDIATRIC ASSOCIATES MD PA

Laboratory Demographics

  • CLIA Code: 10D0677517
  • Facility Name: DELAND PEDIATRIC ASSOCIATES MD PA
  • Facility Address: 999 N STONE STREET #A
    DELAND, FL
    ZIP 32720
  • Facility Phone: 386 738-6804
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BHAVNA B. PATEL MD
  • NPI Number: 1194801571
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0677517
LAB Type Physician Office
Facility Name DELAND PEDIATRIC ASSOCIATES MD PA
Street 999 N STONE STREET #A
City DELAND
State FL
ZIP 32720
Phone 386 738-6804
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Physician Office
Lab Director BHAVNA B. PATEL MD

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This page was last updated on: 3/20/2025