10D2002450 CLIA NUMBER - MARJA J SPROCK MD PLLC DBA CENTRAL FLORIDA UROGYNECOLOGY

Laboratory Demographics

  • CLIA Code: 10D2002450
  • Facility Name: MARJA J SPROCK MD PLLC DBA CENTRAL FLORIDA UROGYNECOLOGY
  • Facility Address: 101 EYSTER BLVD
    ROCKLEDGE, FL
    ZIP 32955
  • Facility Phone: 321 806-3929
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARJA J. SPROCK
  • NPI Number: 1336216704
  • Taxonomy: 207VF0040X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 10D2002450
LAB Type Physician Office
Facility Name MARJA J SPROCK MD PLLC DBA CENTRAL FLORIDA UROGYNECOLOGY
Street 101 EYSTER BLVD
City ROCKLEDGE
State FL
ZIP 32955
Phone 321 806-3929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2024
Certificate Expiration Date 1/14/2026
Facility Type Physician Office
Lab Director MARJA J. SPROCK

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