10D2077641 CLIA NUMBER - STEPHEN L CHASTAIN MD RVT RVPI

Laboratory Demographics

  • CLIA Code: 10D2077641
  • Facility Name: STEPHEN L CHASTAIN MD RVT RVPI
  • Facility Address: 5850 SE COMMUNITY DR VASCULAR MEDICINE OFFICE RM 201
    STUART, FL
    ZIP 34997
  • Facility Phone: 772 324-3900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN L. CHASTAIN
  • NPI Number: 1194784256
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2077641
LAB Type Physician Office
Facility Name STEPHEN L CHASTAIN MD RVT RVPI
Street 5850 SE COMMUNITY DR VASCULAR MEDICINE OFFICE RM 201
City STUART
State FL
ZIP 34997
Phone 772 324-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2024
Certificate Expiration Date 5/12/2026
Facility Type Physician Office
Lab Director STEPHEN L. CHASTAIN

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