10D1008831 CLIA NUMBER - DALE R TRAFICANTE MD PA

Laboratory Demographics

  • CLIA Code: 10D1008831
  • Facility Name: DALE R TRAFICANTE MD PA
  • Facility Address: 1890 LPGA BLVD STE 220
    DAYTONA BEACH, FL
    ZIP 32117
  • Facility Phone: 386 274-5757
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DALE R. TRAFICANTE
  • NPI Number: 1548225378
  • Taxonomy: 208800000X - Urology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1008831
LAB Type Physician Office
Facility Name DALE R TRAFICANTE MD PA
Street 1890 LPGA BLVD STE 220
City DAYTONA BEACH
State FL
ZIP 32117
Phone 386 274-5757
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Physician Office
Lab Director DR. DALE R. TRAFICANTE

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