10D1039089 CLIA NUMBER - ADVANCED EYE SURGERY CTR

Laboratory Demographics

  • CLIA Code: 10D1039089
  • Facility Name: ADVANCED EYE SURGERY CTR
  • Facility Address: 3500 US HWY 1
    VERO BEACH, FL
    ZIP 32960
  • Facility Phone: 772 299-1404
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: WILLIAM J. MALLON MD
  • NPI Number: 1942242441
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1039089
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED EYE SURGERY CTR
Street 3500 US HWY 1
City VERO BEACH
State FL
ZIP 32960
Phone 772 299-1404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Ambulatory Surgery Center
Lab Director WILLIAM J. MALLON MD

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