10D2186334 CLIA NUMBER - COMPLETE CARDIOLOGY CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2186334
  • Facility Name: COMPLETE CARDIOLOGY CARE LLC
  • Facility Address: 1240 W GRANADA BLVD - 2ND FLOOR
    ORMOND BEACH, FL
    ZIP 32174
  • Facility Phone: 386 672-1023
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HUIJIAN J. WANG
  • NPI Number: 1851552665
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2186334
LAB Type Physician Office
Facility Name COMPLETE CARDIOLOGY CARE LLC
Street 1240 W GRANADA BLVD - 2ND FLOOR
City ORMOND BEACH
State FL
ZIP 32174
Phone 386 672-1023
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Physician Office
Lab Director HUIJIAN J. WANG

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