10D1098286 CLIA NUMBER - EDGAR R BLECKER MC PA

Laboratory Demographics

  • CLIA Code: 10D1098286
  • Facility Name: EDGAR R BLECKER MC PA
  • Facility Address: 229 SEBASTIAN BLVD
    SEBASTIAN, FL
    ZIP 32958
  • Facility Phone: 772 581-0016
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDGAR R. BLECKER MD
  • NPI Number: 1134616949
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1098286
LAB Type Physician Office
Facility Name EDGAR R BLECKER MC PA
Street 229 SEBASTIAN BLVD
City SEBASTIAN
State FL
ZIP 32958
Phone 772 581-0016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Physician Office
Lab Director EDGAR R. BLECKER MD

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