10D2160007 CLIA NUMBER - PRACHI GANDHI, DO PA

Laboratory Demographics

  • CLIA Code: 10D2160007
  • Facility Name: PRACHI GANDHI, DO PA
  • Facility Address: 1027 TOWN CENTER DRIVE
    ORANGE CITY, FL
    ZIP 32763
  • Facility Phone: 386 218-0222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PRACHI GANDHI
  • NPI Number: 1619081023
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2160007
LAB Type Physician Office
Facility Name PRACHI GANDHI, DO PA
Street 1027 TOWN CENTER DRIVE
City ORANGE CITY
State FL
ZIP 32763
Phone 386 218-0222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Physician Office
Lab Director DR. PRACHI GANDHI

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