10D2192648 CLIA NUMBER - CDC RESEARCH INSTITUTE LLC

Laboratory Demographics

  • CLIA Code: 10D2192648
  • Facility Name: CDC RESEARCH INSTITUTE LLC
  • Facility Address: 1700 SE HILLMOOR DR SUITE 305
    PORT SAINT LUCIE, FL
    ZIP 34952
  • Facility Phone: 772 807-1636
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: YOHANNA DENO
  • NPI Number: 1922769561
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2192648
LAB Type Physician Office
Facility Name CDC RESEARCH INSTITUTE LLC
Street 1700 SE HILLMOOR DR SUITE 305
City PORT SAINT LUCIE
State FL
ZIP 34952
Phone 772 807-1636
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Physician Office
Lab Director YOHANNA DENO

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