10D2044979 CLIA NUMBER - MEL BAY HEALTH CARE INC

Laboratory Demographics

  • CLIA Code: 10D2044979
  • Facility Name: MEL BAY HEALTH CARE INC
  • Facility Address: 950 S APOLLO BLVD
    MELBOURNE, FL
    ZIP 32901
  • Facility Phone: 321 729-1400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KISHORE R. PATSAMATIE
  • NPI Number: 1407162654
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2044979
LAB Type Physician Office
Facility Name MEL BAY HEALTH CARE INC
Street 950 S APOLLO BLVD
City MELBOURNE
State FL
ZIP 32901
Phone 321 729-1400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Physician Office
Lab Director KISHORE R. PATSAMATIE

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