10D1030283 CLIA NUMBER - FLORIDA CARDIAC CONSULTANTS INC

Laboratory Demographics

  • CLIA Code: 10D1030283
  • Facility Name: FLORIDA CARDIAC CONSULTANTS INC
  • Facility Address: 600 NOKOMIS AVE S
    VENICE, FL
    ZIP 34285
  • Facility Phone: 941 917-0060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES J. FOX
  • NPI Number: 1487630299
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1030283
LAB Type Physician Office
Facility Name FLORIDA CARDIAC CONSULTANTS INC
Street 600 NOKOMIS AVE S
City VENICE
State FL
ZIP 34285
Phone 941 917-0060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type Physician Office
Lab Director JAMES J. FOX

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