10D2006080 CLIA NUMBER - ROGER E BASSIN MD PA

Laboratory Demographics

  • CLIA Code: 10D2006080
  • Facility Name: ROGER E BASSIN MD PA
  • Facility Address: 422 S ALAFAYA TRL STE 32
    ORLANDO, FL
    ZIP 32828
  • Facility Phone: 321 255-0025
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROGER E. BASSIN
  • NPI Number: 1821121237
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D2006080
LAB Type Physician Office
Facility Name ROGER E BASSIN MD PA
Street 422 S ALAFAYA TRL STE 32
City ORLANDO
State FL
ZIP 32828
Phone 321 255-0025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Physician Office
Lab Director ROGER E. BASSIN

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