10D0992444 CLIA NUMBER - SANJAY K MADAN MD PA

Laboratory Demographics

  • CLIA Code: 10D0992444
  • Facility Name: SANJAY K MADAN MD PA
  • Facility Address: 3190 MCMULLEN BOOTH RD
    CLEARWATER, FL
    ZIP 33761
  • Facility Phone: 727 669-2969
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANJAY K. MADAN MD
  • NPI Number: 1912096645
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0992444
LAB Type Physician Office
Facility Name SANJAY K MADAN MD PA
Street 3190 MCMULLEN BOOTH RD
City CLEARWATER
State FL
ZIP 33761
Phone 727 669-2969
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2025
Certificate Expiration Date 10/16/2027
Facility Type Physician Office
Lab Director SANJAY K. MADAN MD

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