10D2269616 CLIA NUMBER - BREVARD HEALTH ALLIANCE INC, THE

Laboratory Demographics

  • CLIA Code: 10D2269616
  • Facility Name: BREVARD HEALTH ALLIANCE INC, THE
  • Facility Address: 2000 COMMERCE DRIVE
    MELBOURNE, FL
    ZIP 32904
  • Facility Phone: 321 241-6800
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DAVID TODD
  • NPI Number: 1104549484
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2269616
LAB Type Federally Qualified Health Center
Facility Name BREVARD HEALTH ALLIANCE INC, THE
Street 2000 COMMERCE DRIVE
City MELBOURNE
State FL
ZIP 32904
Phone 321 241-6800
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Federally Qualified Health Center
Lab Director DAVID TODD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025