10D2201509 CLIA NUMBER - JOHN G ATWATER MD PA DBA ORTHO SPINE AMERICA

Laboratory Demographics

  • CLIA Code: 10D2201509
  • Facility Name: JOHN G ATWATER MD PA DBA ORTHO SPINE AMERICA
  • Facility Address: 1355 37TH ST SUITE 302
    VERO BEACH, FL
    ZIP 32960
  • Facility Phone: 772 213-9809
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN G. ATWATER
  • NPI Number: 1932115656
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D2201509
LAB Type Physician Office
Facility Name JOHN G ATWATER MD PA DBA ORTHO SPINE AMERICA
Street 1355 37TH ST SUITE 302
City VERO BEACH
State FL
ZIP 32960
Phone 772 213-9809
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Physician Office
Lab Director JOHN G. ATWATER

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