10D2142969 CLIA NUMBER - JUPITER MEDICAL CENTER PHYSICIAN'S GROUP CONCIERGE MEDICINE

Laboratory Demographics

  • CLIA Code: 10D2142969
  • Facility Name: JUPITER MEDICAL CENTER PHYSICIAN'S GROUP CONCIERGE MEDICINE
  • Facility Address: 2628 SE FEDERAL HWY
    STUART, FL
    ZIP 34994
  • Facility Phone: 561 263-4020
  • Facility Type: Other - URGENT CARE CTR
  • Facility Type: Waiver
  • Lab Director: DAVID LIPORACE
  • NPI Number: 1235313917
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2142969
LAB Type Other - URGENT CARE CTR
Facility Name JUPITER MEDICAL CENTER PHYSICIAN'S GROUP CONCIERGE MEDICINE
Street 2628 SE FEDERAL HWY
City STUART
State FL
ZIP 34994
Phone 561 263-4020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2024
Certificate Expiration Date 1/22/2026
Facility Type Other - URGENT CARE CTR
Lab Director DAVID LIPORACE

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