10D2023054 CLIA NUMBER - HONTOON FAMILY, LLC DBA ELLASBELLAS OBGYN & AESTHETICS

Laboratory Demographics

  • CLIA Code: 10D2023054
  • Facility Name: HONTOON FAMILY, LLC DBA ELLASBELLAS OBGYN & AESTHETICS
  • Facility Address: 2275 N VOLUSIA AVE STE 100
    ORANGE CITY, FL
    ZIP 32763
  • Facility Phone: 386 774-0109
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUIS E. PARDO
  • NPI Number: 1205572633
  • Taxonomy: 261QB0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2023054
LAB Type Physician Office
Facility Name HONTOON FAMILY, LLC DBA ELLASBELLAS OBGYN & AESTHETICS
Street 2275 N VOLUSIA AVE STE 100
City ORANGE CITY
State FL
ZIP 32763
Phone 386 774-0109
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Physician Office
Lab Director LUIS E. PARDO

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