10D1067637 CLIA NUMBER - TREASURE COAST FORENSIC TREATMENT CTR

Laboratory Demographics

  • CLIA Code: 10D1067637
  • Facility Name: TREASURE COAST FORENSIC TREATMENT CTR
  • Facility Address: 96 SW ALLAPATTAH RD
    INDIANTOWN, FL
    ZIP 34956
  • Facility Phone: 772 597-9401
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: CHARLES ROCAMBOLI
  • NPI Number: 1750666053
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 10D1067637
LAB Type Other
Facility Name TREASURE COAST FORENSIC TREATMENT CTR
Street 96 SW ALLAPATTAH RD
City INDIANTOWN
State FL
ZIP 34956
Phone 772 597-9401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type Other
Lab Director CHARLES ROCAMBOLI

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