10D2185708 CLIA NUMBER - VIPCARE

Laboratory Demographics

  • CLIA Code: 10D2185708
  • Facility Name: VIPCARE
  • Facility Address: 1931 TAMIAMI STE 4-6
    PORT CHARLOTTE, FL
    ZIP 33948
  • Facility Phone: 850 972-9890
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANGEETA HANS
  • NPI Number: 1467969444
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2185708
LAB Type Physician Office
Facility Name VIPCARE
Street 1931 TAMIAMI STE 4-6
City PORT CHARLOTTE
State FL
ZIP 33948
Phone 850 972-9890
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Physician Office
Lab Director SANGEETA HANS

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