10D2134672 CLIA NUMBER - MIDWAY PRIMARY CARE, LLC

Laboratory Demographics

  • CLIA Code: 10D2134672
  • Facility Name: MIDWAY PRIMARY CARE, LLC
  • Facility Address: 3255 S US HWY 1
    FORT PIERCE, FL
    ZIP 34982
  • Facility Phone: 772 742-9476
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUZAN E. ZIMMER
  • NPI Number: 1598114779
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2134672
LAB Type Physician Office
Facility Name MIDWAY PRIMARY CARE, LLC
Street 3255 S US HWY 1
City FORT PIERCE
State FL
ZIP 34982
Phone 772 742-9476
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Physician Office
Lab Director SUZAN E. ZIMMER

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