10D0984929 CLIA NUMBER - KSC CARDIOLOGY PA

Laboratory Demographics

  • CLIA Code: 10D0984929
  • Facility Name: KSC CARDIOLOGY PA
  • Facility Address: 320 1ST ST N
    WINTER HAVEN, FL
    ZIP 33881
  • Facility Phone: 863 508-1101
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: K S. CHANDRASEKHAR MD
  • NPI Number: 1023035862
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D0984929
LAB Type Physician Office
Facility Name KSC CARDIOLOGY PA
Street 320 1ST ST N
City WINTER HAVEN
State FL
ZIP 33881
Phone 863 508-1101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Physician Office
Lab Director K S. CHANDRASEKHAR MD

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