10D2142466 CLIA NUMBER - NIGHT LITE PEDIATRIC CENTER, LLC

Laboratory Demographics

  • CLIA Code: 10D2142466
  • Facility Name: NIGHT LITE PEDIATRIC CENTER, LLC
  • Facility Address: 131 SW PORT ST LUCIE BLVD
    PORT SAINT LUCIE, FL
    ZIP 34984
  • Facility Phone: 772 807-1580
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONALD SAVAGE
  • NPI Number: 1699435669
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2142466
LAB Type Physician Office
Facility Name NIGHT LITE PEDIATRIC CENTER, LLC
Street 131 SW PORT ST LUCIE BLVD
City PORT SAINT LUCIE
State FL
ZIP 34984
Phone 772 807-1580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Physician Office
Lab Director DONALD SAVAGE

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