10D2295825 CLIA NUMBER - BLUEBIRD CARE PHYSICIANS LLC

Laboratory Demographics

  • CLIA Code: 10D2295825
  • Facility Name: BLUEBIRD CARE PHYSICIANS LLC
  • Facility Address: 1936 DAIRY RD
    WEST MELBOURNE, FL
    ZIP 32904
  • Facility Phone: 321 821-4044
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD Z. MENDEZ
  • NPI Number: 1659144251
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2295825
LAB Type Physician Office
Facility Name BLUEBIRD CARE PHYSICIANS LLC
Street 1936 DAIRY RD
City WEST MELBOURNE
State FL
ZIP 32904
Phone 321 821-4044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Physician Office
Lab Director RONALD Z. MENDEZ

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