10D0686922 CLIA NUMBER - FLORIDA DEPT OF HEALTH IN BREVARD COUNTY

Laboratory Demographics

  • CLIA Code: 10D0686922
  • Facility Name: FLORIDA DEPT OF HEALTH IN BREVARD COUNTY
  • Facility Address: 2555 JUDGE FRAN JAMIESON WAY
    VIERA, FL
    ZIP 32940
  • Facility Phone: 321 454-7112
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MURRAY FRED DWECK
  • NPI Number: 1295278943
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D0686922
LAB Type Community Clinic
Facility Name FLORIDA DEPT OF HEALTH IN BREVARD COUNTY
Street 2555 JUDGE FRAN JAMIESON WAY
City VIERA
State FL
ZIP 32940
Phone 321 454-7112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Community Clinic
Lab Director MURRAY FRED DWECK

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