10D1001500 CLIA NUMBER - DELTONA VA CBOC

Laboratory Demographics

  • CLIA Code: 10D1001500
  • Facility Name: DELTONA VA CBOC
  • Facility Address: 1200 DELTONA BLVD, SUITES 41-47
    DELTONA, FL
    ZIP 32725
  • Facility Phone: 386 456-2080
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: FADY R. BADDOURA
  • NPI Number: 1922331982
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1001500
LAB Type Community Clinic
Facility Name DELTONA VA CBOC
Street 1200 DELTONA BLVD, SUITES 41-47
City DELTONA
State FL
ZIP 32725
Phone 386 456-2080
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/12/2002
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director FADY R. BADDOURA

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