10D0714040 CLIA NUMBER - MINA B BHATT, MD, PA

Laboratory Demographics

  • CLIA Code: 10D0714040
  • Facility Name: MINA B BHATT, MD, PA
  • Facility Address: 121 HEALTH WAY
    LAKE PLACID, FL
    ZIP 33852
  • Facility Phone: 863 699-1181
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MINA B. BHATT
  • NPI Number: 1881695096
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0714040
LAB Type Physician Office
Facility Name MINA B BHATT, MD, PA
Street 121 HEALTH WAY
City LAKE PLACID
State FL
ZIP 33852
Phone 863 699-1181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MINA B. BHATT

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