10D0982503 CLIA NUMBER - BREVARD PHYSICIANS PA

Laboratory Demographics

  • CLIA Code: 10D0982503
  • Facility Name: BREVARD PHYSICIANS PA
  • Facility Address: 7137 N US HWY 1
    COCOA, FL
    ZIP 32927
  • Facility Phone: 321 632-3500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VINAY KUMAR
  • NPI Number: 1013234988
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D0982503
LAB Type Physician Office
Facility Name BREVARD PHYSICIANS PA
Street 7137 N US HWY 1
City COCOA
State FL
ZIP 32927
Phone 321 632-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Physician Office
Lab Director VINAY KUMAR

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