10D2208339 CLIA NUMBER - SLP HEALTH CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2208339
  • Facility Name: SLP HEALTH CARE LLC
  • Facility Address: 1371 SE CONFERENCE CIRCLE
    STUART, FL
    ZIP 34997
  • Facility Phone: 561 332-2020
  • Facility Type: Other - PRIARY CARE MOBILE NP
  • Facility Type: Waiver
  • Lab Director: SARA PRATT
  • NPI Number: 1104242783
  • Taxonomy: 363LA2200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2208339
LAB Type Other - PRIARY CARE MOBILE NP
Facility Name SLP HEALTH CARE LLC
Street 1371 SE CONFERENCE CIRCLE
City STUART
State FL
ZIP 34997
Phone 561 332-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Other - PRIARY CARE MOBILE NP
Lab Director SARA PRATT

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This page was last updated on: 3/20/2025