10D2002688 CLIA NUMBER - VIVID PATHOLOGY, PA

Laboratory Demographics

  • CLIA Code: 10D2002688
  • Facility Name: VIVID PATHOLOGY, PA
  • Facility Address: 7800 US HWY 98 W
    MIRAMAR BEACH, FL
    ZIP 32550
  • Facility Phone: 850 416-7250
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: ROBERT N. BLANCHARD
  • NPI Number: 1447227590
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 10D2002688
LAB Type Independent
Facility Name VIVID PATHOLOGY, PA
Street 7800 US HWY 98 W
City MIRAMAR BEACH
State FL
ZIP 32550
Phone 850 416-7250
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/9/2024
Certificate Expiration Date 3/8/2026
Facility Type Independent
Lab Director ROBERT N. BLANCHARD

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