10D2173397 CLIA NUMBER - CENTRAL FLORIDA RADIOLOGY, LLC

Laboratory Demographics

  • CLIA Code: 10D2173397
  • Facility Name: CENTRAL FLORIDA RADIOLOGY, LLC
  • Facility Address: 6023 FARCENDA PLACE, STE 101
    MELBOURNE, FL
    ZIP 32940
  • Facility Phone: 321 831-1111
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: THOMAS H. MAGEE
  • NPI Number: 1225592041
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2173397
LAB Type Practitioner Other
Facility Name CENTRAL FLORIDA RADIOLOGY, LLC
Street 6023 FARCENDA PLACE, STE 101
City MELBOURNE
State FL
ZIP 32940
Phone 321 831-1111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type Practitioner Other
Lab Director THOMAS H. MAGEE

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