10D2145715 CLIA NUMBER - BASSEM ELDAIF MD PA

Laboratory Demographics

  • CLIA Code: 10D2145715
  • Facility Name: BASSEM ELDAIF MD PA
  • Facility Address: 6032 FARCENDA PLACE #102
    MELBOURNE, FL
    ZIP 32940
  • Facility Phone: 321 215-4799
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BASSEM M. ELDAIF
  • NPI Number: 1881869089
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 10D2145715
LAB Type Physician Office
Facility Name BASSEM ELDAIF MD PA
Street 6032 FARCENDA PLACE #102
City MELBOURNE
State FL
ZIP 32940
Phone 321 215-4799
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Physician Office
Lab Director BASSEM M. ELDAIF

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