CLIA lab
CLIA 10D2280177: Space Coast Vascular Interventional Radiology
Melbourne, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2280177 belongs to Space Coast Vascular Interventional Radiology in Melbourne, FL.
Certificate of Waiver, effective April 14, 2025, expires April 13, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 14, 2025
- Certificate expiration
- April 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 14, 2023
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 10D2280177
- Lab name
- Space Coast Vascular Interventional Radiology
- Address
- 336 N Babcock St, Suite #101, Melbourne, FL 32935
- Phone
- (321) 364-1001
- Fax
- (321) 398-5814
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Space Coast Vascular Interventional Radiology in Melbourne?
10D2280177, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Space Coast Vascular Interventional Radiology hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2280177 expire?
The CMS file lists April 13, 2027 as the certificate expiration date; the certificate took effect April 14, 2025.