10D0944414 CLIA NUMBER - HEART AND VASCULAR CARE PA

Laboratory Demographics

  • CLIA Code: 10D0944414
  • Facility Name: HEART AND VASCULAR CARE PA
  • Facility Address: 908 W MAGNOLIA ST
    KISSIMMEE, FL
    ZIP 34741
  • Facility Phone: 407 933-0900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRADIP B. BAIJU
  • NPI Number: 1528349743
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0944414
LAB Type Physician Office
Facility Name HEART AND VASCULAR CARE PA
Street 908 W MAGNOLIA ST
City KISSIMMEE
State FL
ZIP 34741
Phone 407 933-0900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Physician Office
Lab Director PRADIP B. BAIJU

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This page was last updated on: 6/4/2025