10D2016175 CLIA NUMBER - NIBHA MEDIRATTA MD PL

Laboratory Demographics

  • CLIA Code: 10D2016175
  • Facility Name: NIBHA MEDIRATTA MD PL
  • Facility Address: 1970 HOSPITAL VIEW WAY UNIT 1
    CLERMONT, FL
    ZIP 34711
  • Facility Phone: 352 243-3443
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NIBHA MEDIRATTA
  • NPI Number: 1629387980
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2016175
LAB Type Physician Office
Facility Name NIBHA MEDIRATTA MD PL
Street 1970 HOSPITAL VIEW WAY UNIT 1
City CLERMONT
State FL
ZIP 34711
Phone 352 243-3443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Physician Office
Lab Director NIBHA MEDIRATTA

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