10D0991925 CLIA NUMBER - INTERNAL MEDICINE AT VIERA

Laboratory Demographics

  • CLIA Code: 10D0991925
  • Facility Name: INTERNAL MEDICINE AT VIERA
  • Facility Address: 8095 SPYGLASS HILL RD SUITE 101
    MELBOURNE, FL
    ZIP 32940
  • Facility Phone: 321 255-6033
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VENU K. LUTHRA
  • NPI Number: 1609078203
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0991925
LAB Type Physician Office
Facility Name INTERNAL MEDICINE AT VIERA
Street 8095 SPYGLASS HILL RD SUITE 101
City MELBOURNE
State FL
ZIP 32940
Phone 321 255-6033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2023
Certificate Expiration Date 10/1/2025
Facility Type Physician Office
Lab Director VENU K. LUTHRA

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