10D2266498 CLIA NUMBER - FLORIDA VASCULAR SPECIALISTS, LLC

Laboratory Demographics

  • CLIA Code: 10D2266498
  • Facility Name: FLORIDA VASCULAR SPECIALISTS, LLC
  • Facility Address: 3 SW 129TH AVE, STE 102
    PEMBROKE PINES, FL
    ZIP 33027
  • Facility Phone: 310 633-1974
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SRINIVAS TUMMALA
  • NPI Number: 1033823554
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2266498
LAB Type Physician Office
Facility Name FLORIDA VASCULAR SPECIALISTS, LLC
Street 3 SW 129TH AVE, STE 102
City PEMBROKE PINES
State FL
ZIP 33027
Phone 310 633-1974
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Physician Office
Lab Director SRINIVAS TUMMALA

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