10D2031243 CLIA NUMBER - JOSE GAUDIER MD PA

Laboratory Demographics

  • CLIA Code: 10D2031243
  • Facility Name: JOSE GAUDIER MD PA
  • Facility Address: 1805 SE 16TH AVE STE 1202
    OCALA, FL
    ZIP 34471
  • Facility Phone: 352 732-8630
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE A. GAUDIER
  • NPI Number: 1760578165
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 10D2031243
LAB Type Physician Office
Facility Name JOSE GAUDIER MD PA
Street 1805 SE 16TH AVE STE 1202
City OCALA
State FL
ZIP 34471
Phone 352 732-8630
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2023
Certificate Expiration Date 10/16/2025
Facility Type Physician Office
Lab Director JOSE A. GAUDIER

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