10D0723706 CLIA NUMBER - DELO MEDICAL ASSOCIATES

Laboratory Demographics

CLIA Number: 10D0723706

Facility Name: DELO MEDICAL ASSOCIATES

Facility Address:
514 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL
ZIP 34984
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Facility Phone Number: 772 871-5900

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1861535726

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 10D0723706
LAB Type Physician Office
Facility Name DELO MEDICAL ASSOCIATES
Street 514 SE PORT ST LUCIE BLVD
City PORT SAINT LUCIE
State FL
ZIP 34984
Phone 772 871-5900
CertificateType 1
CertificateEffectiveDate 12/23/2023
CertificateExpirationDate 12/22/2025
FacilityType Accreditation

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This page was last updated on: 4/23/2024