10D2114837 CLIA NUMBER - FLORIDA EYE INSTITUTE PA

Laboratory Demographics

CLIA Number: 10D2114837

Facility Name: FLORIDA EYE INSTITUTE PA

Facility Address:
2750 INDIAN RIVER BLVD
VERO BEACH, FL
ZIP 32960
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Facility Phone Number: 772 569-9500

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1598700676

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2114837
LAB Type	Physician Office
Facility Name	FLORIDA EYE INSTITUTE PA
Street	2750 INDIAN RIVER BLVD
City	VERO BEACH
State	FL
ZIP	32960
Phone	772 569-9500
CertificateType	4
CertificateEffectiveDate	6/21/2022
CertificateExpirationDate	6/20/2024
FacilityType	Waiver

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