10D2062477 CLIA NUMBER - WELLMED MEDICAL MANAGEMENT OF FLORIDA INC DBA WELLMED AT HILLMOOR

Laboratory Demographics

  • CLIA Code: 10D2062477
  • Facility Name: WELLMED MEDICAL MANAGEMENT OF FLORIDA INC DBA WELLMED AT HILLMOOR
  • Facility Address: 1801 SE HILLMORE DR STE B109
    PORT SAINT LUCIE, FL
    ZIP 34952
  • Facility Phone: (772) 337-9473
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK FORD

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CLIA Record

Field Name Field Value
CLIA Number 10D2062477
LAB Type Physician Office
Facility Name WELLMED MEDICAL MANAGEMENT OF FLORIDA INC DBA WELLMED AT HILLMOOR
Street 1801 SE HILLMORE DR STE B109
City PORT SAINT LUCIE
State FL
ZIP 34952
Phone 7723379473
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Physician Office
Lab Director MARK FORD

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