10D1106422 CLIA NUMBER - CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES, PA

Laboratory Demographics

  • CLIA Code: 10D1106422
  • Facility Name: CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES, PA
  • Facility Address: 1851 N 9TH AVE STE B
    PENSACOLA, FL
    ZIP 32503
  • Facility Phone: 904 421-5580
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER BOSARGE
  • NPI Number: 1083950356
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D1106422
LAB Type Physician Office
Facility Name CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES, PA
Street 1851 N 9TH AVE STE B
City PENSACOLA
State FL
ZIP 32503
Phone 904 421-5580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2023
Certificate Expiration Date 10/12/2025
Facility Type Physician Office
Lab Director CHRISTOPHER BOSARGE

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