10D2298495 CLIA NUMBER - VITALEXAM LLC

Laboratory Demographics

  • CLIA Code: 10D2298495
  • Facility Name: VITALEXAM LLC
  • Facility Address: 945 W MICHIGAN AVE SUITE 10B
    PENSACOLA, FL
    ZIP 32505
  • Facility Phone: 888 850-3926
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MARCI J. VITALE
  • NPI Number: 1194458760
  • Taxonomy: 261QC1800X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2298495
LAB Type Practitioner Other
Facility Name VITALEXAM LLC
Street 945 W MICHIGAN AVE SUITE 10B
City PENSACOLA
State FL
ZIP 32505
Phone 888 850-3926
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Practitioner Other
Lab Director MARCI J. VITALE

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: 9/29/2025