10D2103374 CLIA NUMBER - VESC LLC DBA ADVENTHEALTH SURGERY CENTER ORMOND BEACH

Laboratory Demographics

  • CLIA Code: 10D2103374
  • Facility Name: VESC LLC DBA ADVENTHEALTH SURGERY CENTER ORMOND BEACH
  • Facility Address: 550 MEMORIAL CIR STE G
    ORMOND BEACH, FL
    ZIP 32174
  • Facility Phone: 386 672-0017
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: J TIMOTHY TOLLAND
  • NPI Number: 1992707855
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2103374
LAB Type Ambulatory Surgery Center
Facility Name VESC LLC DBA ADVENTHEALTH SURGERY CENTER ORMOND BEACH
Street 550 MEMORIAL CIR STE G
City ORMOND BEACH
State FL
ZIP 32174
Phone 386 672-0017
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Ambulatory Surgery Center
Lab Director J TIMOTHY TOLLAND

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