10D2129623 CLIA NUMBER - PROJECT RESPONSE, INC

Laboratory Demographics

  • CLIA Code: 10D2129623
  • Facility Name: PROJECT RESPONSE, INC
  • Facility Address: 378 N BABCOCK STREET
    MELBOURNE, FL
    ZIP 32935
  • Facility Phone: 321 724-1177
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ERIK HENDRICKSON-CRUZ
  • NPI Number: 1487188058
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2129623
LAB Type Community Clinic
Facility Name PROJECT RESPONSE, INC
Street 378 N BABCOCK STREET
City MELBOURNE
State FL
ZIP 32935
Phone 321 724-1177
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type Community Clinic
Lab Director ERIK HENDRICKSON-CRUZ

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