10D2026037 CLIA NUMBER - MARTIN PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2026037
  • Facility Name: MARTIN PRIMARY CARE LLC
  • Facility Address: 1001 SE OCEAN BLVD, STE 103C
    STUART, FL
    ZIP 34996
  • Facility Phone: (772) 287-9143
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AHMAD FADEL
  • NPI Number: 1700036951
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2026037
LAB Type Physician Office
Facility Name MARTIN PRIMARY CARE LLC
Street 1001 SE OCEAN BLVD, STE 103C
City STUART
State FL
ZIP 34996
Phone 7722879143
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Physician Office
Lab Director AHMAD FADEL

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This page was last updated on: 5/15/2026