25D2161444 CLIA NUMBER - FUSION VASCULAR, LLC

Laboratory Demographics

  • CLIA Code: 25D2161444
  • Facility Name: FUSION VASCULAR, LLC
  • Facility Address: 800 N PEARMAN AVENUE
    CLEVELAND, MS
    ZIP 38732
  • Facility Phone: 662 545-5238
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. FALUSO A. FAKOREDE
  • NPI Number: 1497224174
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D2161444
LAB Type Physician Office
Facility Name FUSION VASCULAR, LLC
Street 800 N PEARMAN AVENUE
City CLEVELAND
State MS
ZIP 38732
Phone 662 545-5238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Physician Office
Lab Director DR. FALUSO A. FAKOREDE

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