10D1074193 CLIA NUMBER - ABC PEDIATRICS OF PORT ST LUCIE

Laboratory Demographics

  • CLIA Code: 10D1074193
  • Facility Name: ABC PEDIATRICS OF PORT ST LUCIE
  • Facility Address: 437 SW BETHANY DRIVE
    PORT SAINT LUCIE, FL
    ZIP 34986
  • Facility Phone: 772 344-1775
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA RIZO MD
  • NPI Number: 1730378712
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D1074193
LAB Type Physician Office
Facility Name ABC PEDIATRICS OF PORT ST LUCIE
Street 437 SW BETHANY DRIVE
City PORT SAINT LUCIE
State FL
ZIP 34986
Phone 772 344-1775
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Physician Office
Lab Director MARIA RIZO MD

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