10D1003309 CLIA NUMBER - SUNTREE INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 10D1003309
  • Facility Name: SUNTREE INTERNAL MEDICINE
  • Facility Address: 6619 N WICKHAM RD
    MELBOURNE, FL
    ZIP 32940
  • Facility Phone: 321 259-9500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ABE HARDOON
  • NPI Number: 1700947884
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1003309
LAB Type Physician Office
Facility Name SUNTREE INTERNAL MEDICINE
Street 6619 N WICKHAM RD
City MELBOURNE
State FL
ZIP 32940
Phone 321 259-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type Physician Office
Lab Director ABE HARDOON

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