10D2160089 CLIA NUMBER - INTEGRATIVE MEDICAL CARE

Laboratory Demographics

  • CLIA Code: 10D2160089
  • Facility Name: INTEGRATIVE MEDICAL CARE
  • Facility Address: 1300 36TH ST STE 1A
    VERO BEACH, FL
    ZIP 32960
  • Facility Phone: 772 925-8230
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FEDERICO CANAVOSIO
  • NPI Number: 1225504517
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2160089
LAB Type Physician Office
Facility Name INTEGRATIVE MEDICAL CARE
Street 1300 36TH ST STE 1A
City VERO BEACH
State FL
ZIP 32960
Phone 772 925-8230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Physician Office
Lab Director FEDERICO CANAVOSIO

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