10D1016278 CLIA NUMBER - MOISES SIPERSTEIN MD PA

Laboratory Demographics

  • CLIA Code: 10D1016278
  • Facility Name: MOISES SIPERSTEIN MD PA
  • Facility Address: 10377 S US HWY 1 STE 102
    PORT SAINT LUCIE, FL
    ZIP 34952
  • Facility Phone: 772 337-7811
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOISES SIPERSTEIN MD
  • NPI Number: 1568436103
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1016278
LAB Type Physician Office
Facility Name MOISES SIPERSTEIN MD PA
Street 10377 S US HWY 1 STE 102
City PORT SAINT LUCIE
State FL
ZIP 34952
Phone 772 337-7811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Physician Office
Lab Director MOISES SIPERSTEIN MD

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