10D1101009 CLIA NUMBER - MARK J PAMER DO LLC

Laboratory Demographics

  • CLIA Code: 10D1101009
  • Facility Name: MARK J PAMER DO LLC
  • Facility Address: 573 NW LAKE WHITNEY PLACE STE 105
    PORT SAINT LUCIE, FL
    ZIP 34986
  • Facility Phone: 772 785-5864
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARK J. PAMER
  • NPI Number: 1184824542
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1101009
LAB Type Physician Office
Facility Name MARK J PAMER DO LLC
Street 573 NW LAKE WHITNEY PLACE STE 105
City PORT SAINT LUCIE
State FL
ZIP 34986
Phone 772 785-5864
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Physician Office
Lab Director MARK J. PAMER

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