10D2148027 CLIA NUMBER - ADVANCED CARE PEDIATRICS OF FLORIDA, LLC

Laboratory Demographics

  • CLIA Code: 10D2148027
  • Facility Name: ADVANCED CARE PEDIATRICS OF FLORIDA, LLC
  • Facility Address: 3451 SW DARWIN BLVD
    PORT SAINT LUCIE, FL
    ZIP 34953
  • Facility Phone: 844 437-0010
  • Facility Type: Other - PPEC
  • Facility Type: Waiver
  • Lab Director: CRISTOL THERIEN-DOUGLAS
  • NPI Number: 1972721439
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2148027
LAB Type Other - PPEC
Facility Name ADVANCED CARE PEDIATRICS OF FLORIDA, LLC
Street 3451 SW DARWIN BLVD
City PORT SAINT LUCIE
State FL
ZIP 34953
Phone 844 437-0010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type Other - PPEC
Lab Director CRISTOL THERIEN-DOUGLAS

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