10D2040373 CLIA NUMBER - HEART CARE CFL PA

Laboratory Demographics

  • CLIA Code: 10D2040373
  • Facility Name: HEART CARE CFL PA
  • Facility Address: 3822 S WASHINGTON AVE
    TITUSVILLE, FL
    ZIP 32780
  • Facility Phone: 321 636-6914
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAVI RAO
  • NPI Number: 1265760045
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2040373
LAB Type Physician Office
Facility Name HEART CARE CFL PA
Street 3822 S WASHINGTON AVE
City TITUSVILLE
State FL
ZIP 32780
Phone 321 636-6914
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Physician Office
Lab Director RAVI RAO

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