10D2256507 CLIA NUMBER - ZAZ MED INC DBA VIDA CARE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 10D2256507
  • Facility Name: ZAZ MED INC DBA VIDA CARE MEDICAL GROUP
  • Facility Address: 17410 E HW 50 SUITE 110
    CLERMONT, FL
    ZIP 34711
  • Facility Phone: 787 376-4194
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ZY A. SOTO RODRIGUEZ
  • NPI Number: 1730840372
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2256507
LAB Type Physician Office
Facility Name ZAZ MED INC DBA VIDA CARE MEDICAL GROUP
Street 17410 E HW 50 SUITE 110
City CLERMONT
State FL
ZIP 34711
Phone 787 376-4194
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Physician Office
Lab Director ZY A. SOTO RODRIGUEZ

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