10D0983434 CLIA NUMBER - INDIAN RIVER PRIMARY CARE PA

Laboratory Demographics

  • CLIA Code: 10D0983434
  • Facility Name: INDIAN RIVER PRIMARY CARE PA
  • Facility Address: 1715 37TH PL 2ND FLOOR
    VERO BEACH, FL
    ZIP 32960
  • Facility Phone: 772 794-2222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CURTIS DALILI
  • NPI Number: 1023192507
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D0983434
LAB Type Physician Office
Facility Name INDIAN RIVER PRIMARY CARE PA
Street 1715 37TH PL 2ND FLOOR
City VERO BEACH
State FL
ZIP 32960
Phone 772 794-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Physician Office
Lab Director CURTIS DALILI

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