10D2262342 CLIA NUMBER - ADVANCED VASCULAR SOLUTIONS LLC

Laboratory Demographics

  • CLIA Code: 10D2262342
  • Facility Name: ADVANCED VASCULAR SOLUTIONS LLC
  • Facility Address: 13100 US HWY 1
    SEBASTIAN, FL
    ZIP 32958
  • Facility Phone: 772 581-8900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LORI GIBBONS
  • NPI Number: 1073793063
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D2262342
LAB Type Physician Office
Facility Name ADVANCED VASCULAR SOLUTIONS LLC
Street 13100 US HWY 1
City SEBASTIAN
State FL
ZIP 32958
Phone 772 581-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type Physician Office
Lab Director LORI GIBBONS

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