10D2139386 CLIA NUMBER - MINIMALLY INVASIVE VASCULAR INC

Laboratory Demographics

  • CLIA Code: 10D2139386
  • Facility Name: MINIMALLY INVASIVE VASCULAR INC
  • Facility Address: 2720 US HWY 1, SOUTH STE C
    SAINT AUGUSTINE, FL
    ZIP 32086
  • Facility Phone: 904 320-0680
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: KOK CHONG
  • NPI Number: 1972006351
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2139386
LAB Type Physician Office
Facility Name MINIMALLY INVASIVE VASCULAR INC
Street 2720 US HWY 1, SOUTH STE C
City SAINT AUGUSTINE
State FL
ZIP 32086
Phone 904 320-0680
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type Physician Office
Lab Director KOK CHONG

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