10D0902046 CLIA NUMBER - BLECKER MD LLC

Laboratory Demographics

  • CLIA Code: 10D0902046
  • Facility Name: BLECKER MD LLC
  • Facility Address: 13090 US HIGHWAY 1
    SEBASTIAN, FL
    ZIP 32958
  • Facility Phone: 772 258-4660
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDGAR R R. BLECKER SR MD
  • NPI Number: 1922160308
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0902046
LAB Type Physician Office
Facility Name BLECKER MD LLC
Street 13090 US HIGHWAY 1
City SEBASTIAN
State FL
ZIP 32958
Phone 772 258-4660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Physician Office
Lab Director EDGAR R R. BLECKER SR MD

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