10D2158934 CLIA NUMBER - BREVARD COSMETIC SURGERY GROUP DBA HARRIGAN HEALTH AND WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 10D2158934
  • Facility Name: BREVARD COSMETIC SURGERY GROUP DBA HARRIGAN HEALTH AND WELLNESS LLC
  • Facility Address: 280 N SYKES CREEK PKWY STE A
    MERRITT ISLAND, FL
    ZIP 32953
  • Facility Phone: 321 452-3882
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ROBERT L. BASHORE
  • NPI Number: 1356451306
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D2158934
LAB Type Ambulatory Surgery Center
Facility Name BREVARD COSMETIC SURGERY GROUP DBA HARRIGAN HEALTH AND WELLNESS LLC
Street 280 N SYKES CREEK PKWY STE A
City MERRITT ISLAND
State FL
ZIP 32953
Phone 321 452-3882
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Ambulatory Surgery Center
Lab Director ROBERT L. BASHORE

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