10D1014645 CLIA NUMBER - INDIAN RIVER PATHOLOGY LLC

Laboratory Demographics

  • CLIA Code: 10D1014645
  • Facility Name: INDIAN RIVER PATHOLOGY LLC
  • Facility Address: 6696 SOUTH US 1
    PORT SAINT LUCIE, FL
    ZIP 34952
  • Facility Phone: 772 466-6651
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. DEBORAH JOSEFSON
  • NPI Number: 1477513323
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D1014645
LAB Type Independent
Facility Name INDIAN RIVER PATHOLOGY LLC
Street 6696 SOUTH US 1
City PORT SAINT LUCIE
State FL
ZIP 34952
Phone 772 466-6651
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/19/2025
Certificate Expiration Date 1/18/2027
Facility Type Independent
Lab Director DR. DEBORAH JOSEFSON

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