10D1005951 CLIA NUMBER - SURGICAL CTR OF THE TREASURE COAST,THE

Laboratory Demographics

  • CLIA Code: 10D1005951
  • Facility Name: SURGICAL CTR OF THE TREASURE COAST,THE
  • Facility Address: 9075 S FEDERAL HWY
    PORT SAINT LUCIE, FL
    ZIP 34952
  • Facility Phone: 772 335-4770
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MARK J. POWERS MD
  • NPI Number: 1194761288
  • Taxonomy: 363A00000X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 10D1005951
LAB Type Ambulatory Surgery Center
Facility Name SURGICAL CTR OF THE TREASURE COAST,THE
Street 9075 S FEDERAL HWY
City PORT SAINT LUCIE
State FL
ZIP 34952
Phone 772 335-4770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Ambulatory Surgery Center
Lab Director MARK J. POWERS MD

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