10D2311339 CLIA NUMBER - DR VELASCO CONCIERGE LLC

Laboratory Demographics

  • CLIA Code: 10D2311339
  • Facility Name: DR VELASCO CONCIERGE LLC
  • Facility Address: 3790 7TH TERRACE #102
    VERO BEACH, FL
    ZIP 32960
  • Facility Phone: 772 362-9283
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RODRIGO E. VELASCO
  • NPI Number: 1124861968
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2311339
LAB Type Physician Office
Facility Name DR VELASCO CONCIERGE LLC
Street 3790 7TH TERRACE #102
City VERO BEACH
State FL
ZIP 32960
Phone 772 362-9283
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Physician Office
Lab Director RODRIGO E. VELASCO

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