10D2147243 CLIA NUMBER - KIDNEY CARE OF THE TREASURE COAST

Laboratory Demographics

  • CLIA Code: 10D2147243
  • Facility Name: KIDNEY CARE OF THE TREASURE COAST
  • Facility Address: 2000 HARTMAN ROAD STE 1
    FORT PIERCE, FL
    ZIP 34947
  • Facility Phone: 772 465-1170
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMERAH RAZUMAN
  • NPI Number: 1750803888
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2147243
LAB Type Physician Office
Facility Name KIDNEY CARE OF THE TREASURE COAST
Street 2000 HARTMAN ROAD STE 1
City FORT PIERCE
State FL
ZIP 34947
Phone 772 465-1170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Physician Office
Lab Director SAMERAH RAZUMAN

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