10D2123622 CLIA NUMBER - ASHCHI HEART AND VASCULAR CENTER

Laboratory Demographics

CLIA Number: 10D2123622

Facility Name: ASHCHI HEART AND VASCULAR CENTER

Facility Address:
3839 CR 218
MIDDLEBURG, FL
ZIP 32068
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Facility Phone Number: 904 222-6656

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1447635834

Taxonomy: 207RI0011X - Internal Medicine
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

CLIA Record

Field Name	Field Value
CLIA Number	10D2123622
LAB Type	Physician Office
Facility Name	ASHCHI HEART AND VASCULAR CENTER
Street	3839 CR 218
City	MIDDLEBURG
State	FL
ZIP	32068
Phone	904 222-6656
CertificateType	4
CertificateEffectiveDate	12/27/2022
CertificateExpirationDate	12/26/2024
FacilityType	Waiver

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