10D2098641 CLIA NUMBER - TREASURE COAST SPINE AND DISC CENTER

Laboratory Demographics

  • CLIA Code: 10D2098641
  • Facility Name: TREASURE COAST SPINE AND DISC CENTER
  • Facility Address: 4674 OKEECHOBEE BLVD
    WEST PALM BEACH, FL
    ZIP 33417
  • Facility Phone: 561 684-1080
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GERALD RAFTOPOULOS
  • NPI Number: 1336326347
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 10D2098641
LAB Type Physician Office
Facility Name TREASURE COAST SPINE AND DISC CENTER
Street 4674 OKEECHOBEE BLVD
City WEST PALM BEACH
State FL
ZIP 33417
Phone 561 684-1080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type Physician Office
Lab Director GERALD RAFTOPOULOS

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