10D0908558 CLIA NUMBER - ASC OF BREVARD, THE

Laboratory Demographics

  • CLIA Code: 10D0908558
  • Facility Name: ASC OF BREVARD, THE
  • Facility Address: 719 E NEW HAVEN AVE
    MELBOURNE, FL
    ZIP 32901
  • Facility Phone: 321 984-4405
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DAVID S. WEISER
  • NPI Number: 1164473922
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0908558
LAB Type Other
Facility Name ASC OF BREVARD, THE
Street 719 E NEW HAVEN AVE
City MELBOURNE
State FL
ZIP 32901
Phone 321 984-4405
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Other
Lab Director DAVID S. WEISER

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This page was last updated on: 3/20/2025