10D1061421 CLIA NUMBER - JAVIER FARACH, MD, PA

Laboratory Demographics

  • CLIA Code: 10D1061421
  • Facility Name: JAVIER FARACH, MD, PA
  • Facility Address: 1545 HAND AVE STE B1
    ORMOND BEACH, FL
    ZIP 32174
  • Facility Phone: 386 615-3838
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARLOS J. FARACH
  • NPI Number: 1851347868
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1061421
LAB Type Physician Office
Facility Name JAVIER FARACH, MD, PA
Street 1545 HAND AVE STE B1
City ORMOND BEACH
State FL
ZIP 32174
Phone 386 615-3838
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Physician Office
Lab Director CARLOS J. FARACH

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