10D1085903 CLIA NUMBER - FLORIDA CARDIOVASCULAR ASSOC PA

Laboratory Demographics

  • CLIA Code: 10D1085903
  • Facility Name: FLORIDA CARDIOVASCULAR ASSOC PA
  • Facility Address: 605 N WASHINGTON AVE #100
    TITUSVILLE, FL
    ZIP 32796
  • Facility Phone: 321 383-7600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NARESH V. MODY MD
  • NPI Number: 1245271006
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1085903
LAB Type Physician Office
Facility Name FLORIDA CARDIOVASCULAR ASSOC PA
Street 605 N WASHINGTON AVE #100
City TITUSVILLE
State FL
ZIP 32796
Phone 321 383-7600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2024
Certificate Expiration Date 6/29/2026
Facility Type Physician Office
Lab Director NARESH V. MODY MD

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