10D0972751 CLIA NUMBER - BELLA DATTANI MD PA

Laboratory Demographics

  • CLIA Code: 10D0972751
  • Facility Name: BELLA DATTANI MD PA
  • Facility Address: 1035 N ORLANDO AVE #201
    WINTER PARK, FL
    ZIP 32789
  • Facility Phone: 407 678-3255
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BELLA DATTANI
  • NPI Number: 1972754687
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0972751
LAB Type Physician Office
Facility Name BELLA DATTANI MD PA
Street 1035 N ORLANDO AVE #201
City WINTER PARK
State FL
ZIP 32789
Phone 407 678-3255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Physician Office
Lab Director BELLA DATTANI

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