10D1062546 CLIA NUMBER - REBECCA A PROSTKO MD PA

Laboratory Demographics

  • CLIA Code: 10D1062546
  • Facility Name: REBECCA A PROSTKO MD PA
  • Facility Address: 938 SW MARTIN DOWNS BLVD
    PALM CITY, FL
    ZIP 34990
  • Facility Phone: 772 223-6410
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REBECCA A. PROSTKO
  • NPI Number: 1437124914
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1062546
LAB Type Physician Office
Facility Name REBECCA A PROSTKO MD PA
Street 938 SW MARTIN DOWNS BLVD
City PALM CITY
State FL
ZIP 34990
Phone 772 223-6410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Physician Office
Lab Director REBECCA A. PROSTKO

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