10D0997996 CLIA NUMBER - INTERVENTIONAL CARDIAC CONSULTANTS PLC

Laboratory Demographics

  • CLIA Code: 10D0997996
  • Facility Name: INTERVENTIONAL CARDIAC CONSULTANTS PLC
  • Facility Address: 2035 LITTLE RD
    TRINITY, FL
    ZIP 34655
  • Facility Phone: 727 842-9486
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUIS R. ANNONI-SUAU MD
  • NPI Number: 1104814714
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0997996
LAB Type Physician Office
Facility Name INTERVENTIONAL CARDIAC CONSULTANTS PLC
Street 2035 LITTLE RD
City TRINITY
State FL
ZIP 34655
Phone 727 842-9486
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2024
Certificate Expiration Date 4/1/2026
Facility Type Physician Office
Lab Director LUIS R. ANNONI-SUAU MD

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