10D2179054 CLIA NUMBER - ROMAGOSA BARRON DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 10D2179054
  • Facility Name: ROMAGOSA BARRON DERMATOLOGY
  • Facility Address: 1821 SE PORT ST LUCIE BOULEVARD
    PORT SAINT LUCIE, FL
    ZIP 34952
  • Facility Phone: 772 220-3339
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: RICARDO A. ROMAGOSA
  • NPI Number: 1609863398
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D2179054
LAB Type Physician Office
Facility Name ROMAGOSA BARRON DERMATOLOGY
Street 1821 SE PORT ST LUCIE BOULEVARD
City PORT SAINT LUCIE
State FL
ZIP 34952
Phone 772 220-3339
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Physician Office
Lab Director RICARDO A. ROMAGOSA

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