10D0907113 CLIA NUMBER - ORMOND MEDICAL ARTS FAMILY PRACTICE PL

Laboratory Demographics

  • CLIA Code: 10D0907113
  • Facility Name: ORMOND MEDICAL ARTS FAMILY PRACTICE PL
  • Facility Address: 346 N RIDGEWOOD AVE SUITE A
    EDGEWATER, FL
    ZIP 32132
  • Facility Phone: 386 423-1888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LINDA MELENDEZ TORRES
  • NPI Number: 1467275289
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 10D0907113
LAB Type Physician Office
Facility Name ORMOND MEDICAL ARTS FAMILY PRACTICE PL
Street 346 N RIDGEWOOD AVE SUITE A
City EDGEWATER
State FL
ZIP 32132
Phone 386 423-1888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Physician Office
Lab Director LINDA MELENDEZ TORRES

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