10D0973240 CLIA NUMBER - RAJNEESH K BHALLA MD PA

Laboratory Demographics

  • CLIA Code: 10D0973240
  • Facility Name: RAJNEESH K BHALLA MD PA
  • Facility Address: 1701 SE HILLMOOR DR SUITE C 12
    PORT SAINT LUCIE, FL
    ZIP 34952
  • Facility Phone: 772 398-8844
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAJNEESH K. BHALLA MD
  • NPI Number: 1326062167
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0973240
LAB Type Physician Office
Facility Name RAJNEESH K BHALLA MD PA
Street 1701 SE HILLMOOR DR SUITE C 12
City PORT SAINT LUCIE
State FL
ZIP 34952
Phone 772 398-8844
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Physician Office
Lab Director RAJNEESH K. BHALLA MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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