10D1018475 CLIA NUMBER - ORMOND MEDICAL ARTS FAMILY PRACTICE, LLC

Laboratory Demographics

  • CLIA Code: 10D1018475
  • Facility Name: ORMOND MEDICAL ARTS FAMILY PRACTICE, LLC
  • Facility Address: 845 STATE RD 44
    NEW SMYRNA BEACH, FL
    ZIP 32168
  • Facility Phone: (386) 423-2550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: G FREDRICK HERDEL MD
  • NPI Number: 1710700539
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 10D1018475
LAB Type Physician Office
Facility Name ORMOND MEDICAL ARTS FAMILY PRACTICE, LLC
Street 845 STATE RD 44
City NEW SMYRNA BEACH
State FL
ZIP 32168
Phone 3864232550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Physician Office
Lab Director G FREDRICK HERDEL MD

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This page was last updated on: 5/18/2026