10D2075995 CLIA NUMBER - ST LUCIE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D2075995
  • Facility Name: ST LUCIE PEDIATRICS
  • Facility Address: 2011 S 25TH ST STE 105
    FORT PIERCE, FL
    ZIP 34947
  • Facility Phone: 772 460-8235
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAUL RODRIGUEZ TORRES
  • NPI Number: 1912072117
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 10D2075995
LAB Type Physician Office
Facility Name ST LUCIE PEDIATRICS
Street 2011 S 25TH ST STE 105
City FORT PIERCE
State FL
ZIP 34947
Phone 772 460-8235
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2024
Certificate Expiration Date 4/8/2026
Facility Type Physician Office
Lab Director RAUL RODRIGUEZ TORRES

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This page was last updated on: 9/29/2025