10D2096599 CLIA NUMBER - D BADOLATO PA

Laboratory Demographics

  • CLIA Code: 10D2096599
  • Facility Name: D BADOLATO PA
  • Facility Address: 3150 S BABCOCK ST SECOND FLOOR
    MELBOURNE, FL
    ZIP 32901
  • Facility Phone: 321 674-8078
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN K. BADOLATO
  • NPI Number: 1659316941
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2096599
LAB Type Physician Office
Facility Name D BADOLATO PA
Street 3150 S BABCOCK ST SECOND FLOOR
City MELBOURNE
State FL
ZIP 32901
Phone 321 674-8078
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Physician Office
Lab Director STEPHEN K. BADOLATO

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