10D2013553 CLIA NUMBER - TREASURE COAST MEDICAL PAIN CENTER LLC DBA TREASURE COAST MEDICAL HEALTH CARE

Laboratory Demographics

  • CLIA Code: 10D2013553
  • Facility Name: TREASURE COAST MEDICAL PAIN CENTER LLC DBA TREASURE COAST MEDICAL HEALTH CARE
  • Facility Address: 800 VIRGINIA AVE STE 7
    FORT PIERCE, FL
    ZIP 34982
  • Facility Phone: 772 467-0544
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAROLD PEARSON
  • NPI Number: 1730453903
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 10D2013553
LAB Type Physician Office
Facility Name TREASURE COAST MEDICAL PAIN CENTER LLC DBA TREASURE COAST MEDICAL HEALTH CARE
Street 800 VIRGINIA AVE STE 7
City FORT PIERCE
State FL
ZIP 34982
Phone 772 467-0544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Physician Office
Lab Director HAROLD PEARSON

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