10D1061814 CLIA NUMBER - RICHARD J PENA-ARIET MD

Laboratory Demographics

  • CLIA Code: 10D1061814
  • Facility Name: RICHARD J PENA-ARIET MD
  • Facility Address: 1420 SW SAINT LUCIE WEST BLVD SUITE 107
    PORT SAINT LUCIE, FL
    ZIP 34986
  • Facility Phone: 772 879-1112
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD J. PENA-ARIET MD
  • NPI Number: 1225015852
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1061814
LAB Type Physician Office
Facility Name RICHARD J PENA-ARIET MD
Street 1420 SW SAINT LUCIE WEST BLVD SUITE 107
City PORT SAINT LUCIE
State FL
ZIP 34986
Phone 772 879-1112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Physician Office
Lab Director RICHARD J. PENA-ARIET MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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