10D2111182 CLIA NUMBER - FLORIDA VISION INSTITUTE

Laboratory Demographics

  • CLIA Code: 10D2111182
  • Facility Name: FLORIDA VISION INSTITUTE
  • Facility Address: 1751 SE PORT ST LUCIE BLVD
    PORT SAINT LUCIE, FL
    ZIP 34952
  • Facility Phone: 772 337-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JODI B. LUCHS
  • NPI Number: 1083614366
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 10D2111182
LAB Type Physician Office
Facility Name FLORIDA VISION INSTITUTE
Street 1751 SE PORT ST LUCIE BLVD
City PORT SAINT LUCIE
State FL
ZIP 34952
Phone 772 337-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Physician Office
Lab Director JODI B. LUCHS

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