10D1026429 CLIA NUMBER - COASTAL PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D1026429
  • Facility Name: COASTAL PRIMARY CARE
  • Facility Address: 4995 S HWY US 1
    FORT PIERCE, FL
    ZIP 34982
  • Facility Phone: 772 465-3225
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAUREEN A. ZELINKA
  • NPI Number: 1740397686
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1026429
LAB Type Physician Office
Facility Name COASTAL PRIMARY CARE
Street 4995 S HWY US 1
City FORT PIERCE
State FL
ZIP 34982
Phone 772 465-3225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Physician Office
Lab Director MAUREEN A. ZELINKA

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