10D0865531 CLIA NUMBER - DEARDOURFF, TIMMONS & ASSOCIATES, PA

Laboratory Demographics

  • CLIA Code: 10D0865531
  • Facility Name: DEARDOURFF, TIMMONS & ASSOCIATES, PA
  • Facility Address: 6420 NW 9TH BLVD
    GAINESVILLE, FL
    ZIP 32605
  • Facility Phone: 352 331-2332
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DARYLL BULLEN
  • NPI Number: 1295768398
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 10D0865531
LAB Type Physician Office
Facility Name DEARDOURFF, TIMMONS & ASSOCIATES, PA
Street 6420 NW 9TH BLVD
City GAINESVILLE
State FL
ZIP 32605
Phone 352 331-2332
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Physician Office
Lab Director DARYLL BULLEN

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