10D0716339 CLIA NUMBER - ROY A ROTHMAN DPM PA

Laboratory Demographics

  • CLIA Code: 10D0716339
  • Facility Name: ROY A ROTHMAN DPM PA
  • Facility Address: 2836 ENTERPRISE ROAD SUITE 2
    DE BARY, FL
    ZIP 32713
  • Facility Phone: 386 775-0071
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROY A. ROTHMAN
  • NPI Number: 1679550016
  • Taxonomy: 213E00000X - Podiatrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0716339
LAB Type Physician Office
Facility Name ROY A ROTHMAN DPM PA
Street 2836 ENTERPRISE ROAD SUITE 2
City DE BARY
State FL
ZIP 32713
Phone 386 775-0071
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 ROY A. ROTHMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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