10D2319562 CLIA NUMBER - OCEANVIEW INTERNAL MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 10D2319562
  • Facility Name: OCEANVIEW INTERNAL MEDICINE LLC
  • Facility Address: 1694 W HIBISCUS BLVD STE A
    MELBOURNE, FL
    ZIP 32901
  • Facility Phone: 321 327-2177
  • Facility Type: Other - INTERNAL MEDICINE
  • Facility Type: Waiver
  • Lab Director: JENNIFER S. MAHL
  • NPI Number: 1295533057
  • Taxonomy: 363LA2200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2319562
LAB Type Other - INTERNAL MEDICINE
Facility Name OCEANVIEW INTERNAL MEDICINE LLC
Street 1694 W HIBISCUS BLVD STE A
City MELBOURNE
State FL
ZIP 32901
Phone 321 327-2177
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Other - INTERNAL MEDICINE
Lab Director JENNIFER S. MAHL

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