10D2104968 CLIA NUMBER - MALABAR MEDICAL WALK IN CLINIC

Laboratory Demographics

  • CLIA Code: 10D2104968
  • Facility Name: MALABAR MEDICAL WALK IN CLINIC
  • Facility Address: 1663 GEORGIA ST, NE UNIT 400
    PALM BAY, FL
    ZIP 32907
  • Facility Phone: 321 802-9080
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KANTILAL BHALANI
  • NPI Number: 1235507781
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2104968
LAB Type Practitioner Other
Facility Name MALABAR MEDICAL WALK IN CLINIC
Street 1663 GEORGIA ST, NE UNIT 400
City PALM BAY
State FL
ZIP 32907
Phone 321 802-9080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Practitioner Other
Lab Director KANTILAL BHALANI

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