10D0884426 CLIA NUMBER - INDIAN RIVER CTR, LLC

Laboratory Demographics

  • CLIA Code: 10D0884426
  • Facility Name: INDIAN RIVER CTR, LLC
  • Facility Address: 7201 GREENBORO DRIVE
    WEST MELBOURNE, FL
    ZIP 32904
  • Facility Phone: 321 727-0990
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MAUREEN IMPERATO
  • NPI Number: 1164410197
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0884426
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name INDIAN RIVER CTR, LLC
Street 7201 GREENBORO DRIVE
City WEST MELBOURNE
State FL
ZIP 32904
Phone 321 727-0990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2024
Certificate Expiration Date 3/30/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MAUREEN IMPERATO

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