10D1104453 CLIA NUMBER - FLORIDA ORTHOPAEDIC ASSOCIATES PA

Laboratory Demographics

  • CLIA Code: 10D1104453
  • Facility Name: FLORIDA ORTHOPAEDIC ASSOCIATES PA
  • Facility Address: 740 W PLYMOUTH AVE
    DELAND, FL
    ZIP 32720
  • Facility Phone: 386 734-9122
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JONATHAN WALDBAUM
  • NPI Number: 1043480957
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D1104453
LAB Type Physician Office
Facility Name FLORIDA ORTHOPAEDIC ASSOCIATES PA
Street 740 W PLYMOUTH AVE
City DELAND
State FL
ZIP 32720
Phone 386 734-9122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2025
Certificate Expiration Date 9/2/2027
Facility Type Physician Office
Lab Director JONATHAN WALDBAUM

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