10D1001500 CLIA NUMBER - DELTONA VA CBOC

Laboratory Demographics

CLIA Number: 10D1001500

Facility Name: DELTONA VA CBOC

Facility Address:
1200 DELTONA BLVD, SUITES 41-47
DELTONA, FL
ZIP 32725
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Facility Phone Number: 386 456-2080

Facility Type: Community Clinic

Certificate Type: Accreditation

NPI Number: 1922331982

Taxonomy: 261QV0200X - Clinic/Center

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
CertificateType	1
CertificateEffectiveDate	7/12/2002
CertificateExpirationDate	5/22/2026
FacilityType	Accreditation

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This page was last updated on: 4/23/2024