10D0981925 CLIA NUMBER - PORT ST LUCIE REHABILITATION AND HEALTHCARE

Laboratory Demographics

  • CLIA Code: 10D0981925
  • Facility Name: PORT ST LUCIE REHABILITATION AND HEALTHCARE
  • Facility Address: 7300 OLEANDER AVE
    PORT SAINT LUCIE, FL
    ZIP 34952
  • Facility Phone: 772 466-4100
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RICK H. BROWN
  • NPI Number: 1730259466
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0981925
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PORT ST LUCIE REHABILITATION AND HEALTHCARE
Street 7300 OLEANDER AVE
City PORT SAINT LUCIE
State FL
ZIP 34952
Phone 772 466-4100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RICK H. BROWN

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