10D0698652 CLIA NUMBER - GARRICK KANTZLER MD PA

Laboratory Demographics

  • CLIA Code: 10D0698652
  • Facility Name: GARRICK KANTZLER MD PA
  • Facility Address: 3745 11TH CIRCLE SUITE 107
    VERO BEACH, FL
    ZIP 32960
  • Facility Phone: 772 562-2330
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARRICK B. KANTZLER
  • NPI Number: 1720197080
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0698652
LAB Type Physician Office
Facility Name GARRICK KANTZLER MD PA
Street 3745 11TH CIRCLE SUITE 107
City VERO BEACH
State FL
ZIP 32960
Phone 772 562-2330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Physician Office
Lab Director GARRICK B. KANTZLER

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