10D2115296 CLIA NUMBER - FLORIDA ENDOVASCULAR AND INTERVENTIONAL

Laboratory Demographics

  • CLIA Code: 10D2115296
  • Facility Name: FLORIDA ENDOVASCULAR AND INTERVENTIONAL
  • Facility Address: 15600 NW 67TH AVE STE 101
    MIAMI LAKES, FL
    ZIP 33014
  • Facility Phone: 786 534-2555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CURTIS L. ANDERSON
  • NPI Number: 1801243209
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2115296
LAB Type Physician Office
Facility Name FLORIDA ENDOVASCULAR AND INTERVENTIONAL
Street 15600 NW 67TH AVE STE 101
City MIAMI LAKES
State FL
ZIP 33014
Phone 786 534-2555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2024
Certificate Expiration Date 7/4/2026
Facility Type Physician Office
Lab Director CURTIS L. ANDERSON

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