Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
10D2170734
|
|
Clinical laboratory number
|
|
Lab Name
|
M VANDENBOSCH, MD PA
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
N/S (NOT SPECIFIED)
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
850-902-1282
|
|
Laboratory telephone number
|
|
Fax
|
850-398-5408
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
5808B HWY 189 N
|
|
Primary location adress line
|
|
City
|
BAKER
|
|
Primary location city name
|
|
State
|
FL
|
|
Primary location state name
|
|
Zip
|
32531
|
|
Primary location postal code
|