10D0872868 CLIA NUMBER - RODRIGO BALTODANO MD

Laboratory Demographics

  • CLIA Code: 10D0872868
  • Facility Name: RODRIGO BALTODANO MD
  • Facility Address: 3125 CITRUS TOWER BLVD BLDG C
    CLERMONT, FL
    ZIP 34711
  • Facility Phone: (352) 394-0043
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RODRIGO BALTODANO
  • NPI Number: 1265446918
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0872868
LAB Type Physician Office
Facility Name RODRIGO BALTODANO MD
Street 3125 CITRUS TOWER BLVD BLDG C
City CLERMONT
State FL
ZIP 34711
Phone 3523940043
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Physician Office
Lab Director RODRIGO BALTODANO

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This page was last updated on: 5/18/2026