10D0950504 CLIA NUMBER - ORMOND MEDICAL ARTS FAMILY PRACTICE PL

Laboratory Demographics

  • CLIA Code: 10D0950504
  • Facility Name: ORMOND MEDICAL ARTS FAMILY PRACTICE PL
  • Facility Address: 999 W PLYMOUTH AVE
    DELAND, FL
    ZIP 32720
  • Facility Phone: 386 740-7080
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRUCE RANKIN
  • NPI Number: 1386467108
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 10D0950504
LAB Type Physician Office
Facility Name ORMOND MEDICAL ARTS FAMILY PRACTICE PL
Street 999 W PLYMOUTH AVE
City DELAND
State FL
ZIP 32720
Phone 386 740-7080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type Physician Office
Lab Director BRUCE RANKIN

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