10D2174179 CLIA NUMBER - RIVER'S EDGE DPC

Laboratory Demographics

  • CLIA Code: 10D2174179
  • Facility Name: RIVER'S EDGE DPC
  • Facility Address: 14060 HWY US-1
    SEBASTIAN, FL
    ZIP 32958
  • Facility Phone: 772 202-2265
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTINE FESTA
  • NPI Number: 1538789243
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2174179
LAB Type Physician Office
Facility Name RIVER'S EDGE DPC
Street 14060 HWY US-1
City SEBASTIAN
State FL
ZIP 32958
Phone 772 202-2265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Physician Office
Lab Director CHRISTINE FESTA

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