10D2055355 CLIA NUMBER - TESORO LAB

Laboratory Demographics

  • CLIA Code: 10D2055355
  • Facility Name: TESORO LAB
  • Facility Address: 1811 S 25TH ST
    FORT PIERCE, FL
    ZIP 34947
  • Facility Phone: 772 595-5988
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. LARRY S. HIRSCHFIELD
  • NPI Number: 1639593858
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2055355
LAB Type Physician Office
Facility Name TESORO LAB
Street 1811 S 25TH ST
City FORT PIERCE
State FL
ZIP 34947
Phone 772 595-5988
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Physician Office
Lab Director DR. LARRY S. HIRSCHFIELD

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This page was last updated on: 3/20/2025