10D2029487 CLIA NUMBER - FAMILY MEDICINE CLINIC

Laboratory Demographics

  • CLIA Code: 10D2029487
  • Facility Name: FAMILY MEDICINE CLINIC
  • Facility Address: 8515 S US HWY 1
    PORT SAINT LUCIE, FL
    ZIP 34952
  • Facility Phone: (772) 380-4042
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IMRAN MALIK
  • NPI Number: 1649553793
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2029487
LAB Type Physician Office
Facility Name FAMILY MEDICINE CLINIC
Street 8515 S US HWY 1
City PORT SAINT LUCIE
State FL
ZIP 34952
Phone 7723804042
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Physician Office
Lab Director IMRAN MALIK

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This page was last updated on: 5/18/2026