10D2072539 CLIA NUMBER - BOGDANOVSKI FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 10D2072539
  • Facility Name: BOGDANOVSKI FAMILY PRACTICE
  • Facility Address: 909 STERTHAUS DR
    ORMOND BEACH, FL
    ZIP 32174
  • Facility Phone: 386 672-1717
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DRAGI BOGDANOVSKI
  • NPI Number: 1235550419
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2072539
LAB Type Physician Office
Facility Name BOGDANOVSKI FAMILY PRACTICE
Street 909 STERTHAUS DR
City ORMOND BEACH
State FL
ZIP 32174
Phone 386 672-1717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2024
Certificate Expiration Date 2/2/2026
Facility Type Physician Office
Lab Director DRAGI BOGDANOVSKI

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