10D2069938 CLIA NUMBER - VINNY M VARGHESE MD PA

Laboratory Demographics

  • CLIA Code: 10D2069938
  • Facility Name: VINNY M VARGHESE MD PA
  • Facility Address: 2720 REBECCA LN UNIT 2
    ORANGE CITY, FL
    ZIP 32763
  • Facility Phone: 386 228-1234
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VINNY M. VARGHESE
  • NPI Number: 1154370559
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2069938
LAB Type Physician Office
Facility Name VINNY M VARGHESE MD PA
Street 2720 REBECCA LN UNIT 2
City ORANGE CITY
State FL
ZIP 32763
Phone 386 228-1234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Physician Office
Lab Director VINNY M. VARGHESE

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