10D2108017 CLIA NUMBER - MOBILE ANESTHESIA ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 10D2108017
  • Facility Name: MOBILE ANESTHESIA ASSOCIATES LLC
  • Facility Address: 10244 S US HWY 1
    PORT SAINT LUCIE, FL
    ZIP 34952
  • Facility Phone: 866 228-7676
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LOEL WARSCH
  • NPI Number: 1043523152
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2108017
LAB Type Physician Office
Facility Name MOBILE ANESTHESIA ASSOCIATES LLC
Street 10244 S US HWY 1
City PORT SAINT LUCIE
State FL
ZIP 34952
Phone 866 228-7676
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Physician Office
Lab Director LOEL WARSCH

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