10D2233227 CLIA NUMBER - VIZAVEE URGENT & PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2233227
  • Facility Name: VIZAVEE URGENT & PRIMARY CARE LLC
  • Facility Address: 4669 E SR 44 SUITE 101
    WILDWOOD, FL
    ZIP 34785
  • Facility Phone: 321 438-0193
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN A. SANTOS
  • NPI Number: 1821665886
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2233227
LAB Type Pharmacy
Facility Name VIZAVEE URGENT & PRIMARY CARE LLC
Street 4669 E SR 44 SUITE 101
City WILDWOOD
State FL
ZIP 34785
Phone 321 438-0193
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2023
Certificate Expiration Date 8/19/2025
Facility Type Pharmacy
Lab Director JOHN A. SANTOS

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This page was last updated on: 6/4/2025