10D2206764 CLIA NUMBER - TOTAL MD CARE

Laboratory Demographics

  • CLIA Code: 10D2206764
  • Facility Name: TOTAL MD CARE
  • Facility Address: 4340 S HOPKINS AVE
    TITUSVILLE, FL
    ZIP 32780
  • Facility Phone: 321 222-3607
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TANMAY A. PATEL
  • NPI Number: 1972071868
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2206764
LAB Type Physician Office
Facility Name TOTAL MD CARE
Street 4340 S HOPKINS AVE
City TITUSVILLE
State FL
ZIP 32780
Phone 321 222-3607
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Physician Office
Lab Director TANMAY A. PATEL

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