10D2286234 CLIA NUMBER - WEST FLORIDA CARDIOLOGY NETWORK, LLC

Laboratory Demographics

  • CLIA Code: 10D2286234
  • Facility Name: WEST FLORIDA CARDIOLOGY NETWORK, LLC
  • Facility Address: 615 VONDERBURG DR
    BRANDON, FL
    ZIP 33511
  • Facility Phone: 813 571-9988
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRADLEY L. BUFKIN
  • NPI Number: 1619642618
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D2286234
LAB Type Physician Office
Facility Name WEST FLORIDA CARDIOLOGY NETWORK, LLC
Street 615 VONDERBURG DR
City BRANDON
State FL
ZIP 33511
Phone 813 571-9988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Physician Office
Lab Director BRADLEY L. BUFKIN

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