10D1083890 CLIA NUMBER - PASCAL BORDY MD PA

Laboratory Demographics

  • CLIA Code: 10D1083890
  • Facility Name: PASCAL BORDY MD PA
  • Facility Address: 530 TAMIAMI TRL
    PORT CHARLOTTE, FL
    ZIP 33953
  • Facility Phone: 941 391-5296
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: PASCAL P. BORDY
  • NPI Number: 1952514283
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1083890
LAB Type Practitioner Other
Facility Name PASCAL BORDY MD PA
Street 530 TAMIAMI TRL
City PORT CHARLOTTE
State FL
ZIP 33953
Phone 941 391-5296
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2024
Certificate Expiration Date 5/12/2026
Facility Type Practitioner Other
Lab Director PASCAL P. BORDY

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This page was last updated on: 6/4/2025