10D2220673 CLIA NUMBER - VRAJ MEDICAL LLC DBA FRONTLINE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D2220673
  • Facility Name: VRAJ MEDICAL LLC DBA FRONTLINE PRIMARY CARE
  • Facility Address: 1942 W COUNTY RD 419 STE 1060
    OVIEDO, FL
    ZIP 32766
  • Facility Phone: 407 603-9134
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MIHIR R. FALDU
  • NPI Number: 1265055412
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2220673
LAB Type Physician Office
Facility Name VRAJ MEDICAL LLC DBA FRONTLINE PRIMARY CARE
Street 1942 W COUNTY RD 419 STE 1060
City OVIEDO
State FL
ZIP 32766
Phone 407 603-9134
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Physician Office
Lab Director MIHIR R. FALDU

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