10D2133441 CLIA NUMBER - OUR HEART AND VASCULAR, LLC

Laboratory Demographics

  • CLIA Code: 10D2133441
  • Facility Name: OUR HEART AND VASCULAR, LLC
  • Facility Address: 13740 OFFICE PARK COURT STE C
    HUDSON, FL
    ZIP 34667
  • Facility Phone: 727 869-5100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GOPAL CHALAVARYA
  • NPI Number: 1184892739
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2133441
LAB Type Physician Office
Facility Name OUR HEART AND VASCULAR, LLC
Street 13740 OFFICE PARK COURT STE C
City HUDSON
State FL
ZIP 34667
Phone 727 869-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2023
Certificate Expiration Date 7/12/2025
Facility Type Physician Office
Lab Director GOPAL CHALAVARYA

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This page was last updated on: 6/4/2025