10D2188512 CLIA NUMBER - TOTAL MD CARE

Laboratory Demographics

  • CLIA Code: 10D2188512
  • Facility Name: TOTAL MD CARE
  • Facility Address: 577 BARENS BLVD STE 400
    ROCKLEDGE, FL
    ZIP 32955
  • Facility Phone: 321 405-2090
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAMMY A. PATEL
  • NPI Number: 1033732128
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2188512
LAB Type Physician Office
Facility Name TOTAL MD CARE
Street 577 BARENS BLVD STE 400
City ROCKLEDGE
State FL
ZIP 32955
Phone 321 405-2090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Physician Office
Lab Director TAMMY A. PATEL

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