10D2079159 CLIA NUMBER - TERRENCE S DELIKAT DO PL

Laboratory Demographics

  • CLIA Code: 10D2079159
  • Facility Name: TERRENCE S DELIKAT DO PL
  • Facility Address: 1350 E MAIN ST - STE C2
    BARTOW, FL
    ZIP 33830
  • Facility Phone: 863 537-6151
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEMY M. DELIKAT
  • NPI Number: 1154326775
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2079159
LAB Type Physician Office
Facility Name TERRENCE S DELIKAT DO PL
Street 1350 E MAIN ST - STE C2
City BARTOW
State FL
ZIP 33830
Phone 863 537-6151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Physician Office
Lab Director JEMY M. DELIKAT

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