Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
10D2188027
|
|
Clinical laboratory number
|
|
Lab Name
|
MARK MINOR MD PA DBA MINOR ALLERGY IN BREVARD
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
PPMP
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
321-757-5550
|
|
Laboratory telephone number
|
|
Fax
|
321-255-5552
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
3021 W EAU GALLIE BLVD SUITE 102
|
|
Primary location adress line
|
|
City
|
MELBOURNE
|
|
Primary location city name
|
|
State
|
FL
|
|
Primary location state name
|
|
Zip
|
32934-7005
|
|
Primary location postal code
|