10D1068323 CLIA NUMBER - AZELVANDRE DO & ASSOCIATES, LLC

Laboratory Demographics

  • CLIA Code: 10D1068323
  • Facility Name: AZELVANDRE DO & ASSOCIATES, LLC
  • Facility Address: 301 S MILWEE STREET
    LONGWOOD, FL
    ZIP 32750
  • Facility Phone: 407 339-1060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACQUELINE AZELVANDRE
  • NPI Number: 1760681118
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1068323
LAB Type Physician Office
Facility Name AZELVANDRE DO & ASSOCIATES, LLC
Street 301 S MILWEE STREET
City LONGWOOD
State FL
ZIP 32750
Phone 407 339-1060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2023
Certificate Expiration Date 5/7/2025
Facility Type Physician Office
Lab Director JACQUELINE AZELVANDRE

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This page was last updated on: 3/20/2025