10D2060110 CLIA NUMBER - HEART AND VASCULAR CLINIC OF CLERMONT LLC

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Laboratory Demographics

CLIA Number: 10D2060110

Facility Name: HEART AND VASCULAR CLINIC OF CLERMONT LLC

Facility Address:
3101 CITRUS TOWER BLVD
CLERMONT, FL
ZIP 34711
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Facility Phone Number: 352 432-7200

Facility Type: Other - CARDIOLOGY OFFICE

Certificate Type: Waiver

NPI Number: 1235572405

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	10D2060110
LAB Type	Other - CARDIOLOGY OFFICE
Facility Name	HEART AND VASCULAR CLINIC OF CLERMONT LLC
Street	3101 CITRUS TOWER BLVD
City	CLERMONT
State	FL
ZIP	34711
Phone	352 432-7200
CertificateType	4
CertificateEffectiveDate	6/6/2023
CertificateExpirationDate	6/5/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024