10D1105674 CLIA NUMBER - FLORIDA CARDIOLOGY GROUP

Laboratory Demographics

  • CLIA Code: 10D1105674
  • Facility Name: FLORIDA CARDIOLOGY GROUP
  • Facility Address: 13740 OFFICE PARK COURT
    HUDSON, FL
    ZIP 34667
  • Facility Phone: 727 869-5100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GOPAL CHALAVARYA MD
  • NPI Number: 1568457521
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1105674
LAB Type Physician Office
Facility Name FLORIDA CARDIOLOGY GROUP
Street 13740 OFFICE PARK COURT
City HUDSON
State FL
ZIP 34667
Phone 727 869-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Physician Office
Lab Director GOPAL CHALAVARYA MD

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