10D0964414 CLIA NUMBER - VOLUSIA OBSTETRICS & GYNECOLOGY LLC

Laboratory Demographics

  • CLIA Code: 10D0964414
  • Facility Name: VOLUSIA OBSTETRICS & GYNECOLOGY LLC
  • Facility Address: 3641 S CLYDE MORRIS BLVD, STE 100
    PORT ORANGE, FL
    ZIP 32129
  • Facility Phone: 386 252-5858
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MEETESH DESAI
  • NPI Number: 1720037211
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 10D0964414
LAB Type Physician Office
Facility Name VOLUSIA OBSTETRICS & GYNECOLOGY LLC
Street 3641 S CLYDE MORRIS BLVD, STE 100
City PORT ORANGE
State FL
ZIP 32129
Phone 386 252-5858
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2023
Certificate Expiration Date 9/30/2025
Facility Type Physician Office
Lab Director MEETESH DESAI

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