10D2075848 CLIA NUMBER - MELBOURNE GYNECOLOGY LLC

Laboratory Demographics

  • CLIA Code: 10D2075848
  • Facility Name: MELBOURNE GYNECOLOGY LLC
  • Facility Address: 410 N WICKHAM RD STE 201
    MELBOURNE, FL
    ZIP 32935
  • Facility Phone: 321 242-0035
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ESTHER R. CLAYTON
  • NPI Number: 1336719061
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 10D2075848
LAB Type Physician Office
Facility Name MELBOURNE GYNECOLOGY LLC
Street 410 N WICKHAM RD STE 201
City MELBOURNE
State FL
ZIP 32935
Phone 321 242-0035
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Physician Office
Lab Director ESTHER R. CLAYTON

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