10D2172217 CLIA NUMBER - HEALTH CARE SERVICES LC

Laboratory Demographics

CLIA Number: 10D2172217

Facility Name: HEALTH CARE SERVICES LC

Facility Address:
1889 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL
ZIP 34952
Get Directions

Facility Phone Number: 772 224-2221

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1649466384

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2172217
LAB Type	Physician Office
Facility Name	HEALTH CARE SERVICES LC
Street	1889 SE PORT ST LUCIE BLVD
City	PORT SAINT LUCIE
State	FL
ZIP	34952
Phone	772 224-2221
CertificateType	4
CertificateEffectiveDate	9/18/2023
CertificateExpirationDate	9/17/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024