10D2054904 CLIA NUMBER - TREASURE COAST DERMATOLOGY

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Laboratory Demographics

CLIA Number: 10D2054904

Facility Name: TREASURE COAST DERMATOLOGY

Facility Address:
1260 37TH ST STE 101
VERO BEACH, FL
ZIP 32960
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Facility Phone Number: 772 226-7218

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1063443794

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	10D2054904
LAB Type	Physician Office
Facility Name	TREASURE COAST DERMATOLOGY
Street	1260 37TH ST STE 101
City	VERO BEACH
State	FL
ZIP	32960
Phone	772 226-7218
CertificateType	2
CertificateEffectiveDate	4/10/2023
CertificateExpirationDate	4/9/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024