10D2322725 CLIA NUMBER - AVIA TOTAL HEALTH PLLC

Laboratory Demographics

  • CLIA Code: 10D2322725
  • Facility Name: AVIA TOTAL HEALTH PLLC
  • Facility Address: 4195 W NEW HAVEN ST, STE 7
    WEST MELBOURNE, FL
    ZIP 32904
  • Facility Phone: 321 266-7485
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER THAVER
  • NPI Number: 1386454080
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2322725
LAB Type Physician Office
Facility Name AVIA TOTAL HEALTH PLLC
Street 4195 W NEW HAVEN ST, STE 7
City WEST MELBOURNE
State FL
ZIP 32904
Phone 321 266-7485
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Physician Office
Lab Director CHRISTOPHER THAVER

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