10D2173714 CLIA NUMBER - BRASHEAR'S VITAL CARE CORP

Laboratory Demographics

  • CLIA Code: 10D2173714
  • Facility Name: BRASHEAR'S VITAL CARE CORP
  • Facility Address: 471 N DACIE PT
    LECANTO, FL
    ZIP 34461
  • Facility Phone: 352 637-2079
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELIS V. BRASHEAR
  • NPI Number: 1710912662
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2173714
LAB Type Pharmacy
Facility Name BRASHEAR'S VITAL CARE CORP
Street 471 N DACIE PT
City LECANTO
State FL
ZIP 34461
Phone 352 637-2079
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2025
Certificate Expiration Date 10/16/2027
Facility Type Pharmacy
Lab Director ELIS V. BRASHEAR

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