10D2000073 CLIA NUMBER - TWO RIVERS FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 10D2000073
  • Facility Name: TWO RIVERS FAMILY PRACTICE
  • Facility Address: 1231 S PATRICK DRIVE
    SATELLITE BEACH, FL
    ZIP 32937
  • Facility Phone: 510 504-1243
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERRILL L. TOPS
  • NPI Number: 1407088750
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2000073
LAB Type Physician Office
Facility Name TWO RIVERS FAMILY PRACTICE
Street 1231 S PATRICK DRIVE
City SATELLITE BEACH
State FL
ZIP 32937
Phone 510 504-1243
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Physician Office
Lab Director TERRILL L. TOPS

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