10D2075850 CLIA NUMBER - VASCULAR ACTION LLC

Laboratory Demographics

  • CLIA Code: 10D2075850
  • Facility Name: VASCULAR ACTION LLC
  • Facility Address: 2810 W ST ISABEL ST STE 102
    TAMPA, FL
    ZIP 33607
  • Facility Phone: 352 322-3294
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BAUDOUIN LECLERCQ
  • NPI Number: 1871921163
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2075850
LAB Type Physician Office
Facility Name VASCULAR ACTION LLC
Street 2810 W ST ISABEL ST STE 102
City TAMPA
State FL
ZIP 33607
Phone 352 322-3294
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Physician Office
Lab Director BAUDOUIN LECLERCQ

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