10D2213049 CLIA NUMBER - MARTIN MEMORIAL MEDICAL CENTER, INC

Laboratory Demographics

  • CLIA Code: 10D2213049
  • Facility Name: MARTIN MEMORIAL MEDICAL CENTER, INC
  • Facility Address: 3801 S KANNER HWY SUITE 200
    STUART, FL
    ZIP 34994
  • Facility Phone: 772 419-3301
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GEORGE LEE DRAKE III
  • NPI Number: 1316966336
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2213049
LAB Type Physician Office
Facility Name MARTIN MEMORIAL MEDICAL CENTER, INC
Street 3801 S KANNER HWY SUITE 200
City STUART
State FL
ZIP 34994
Phone 772 419-3301
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 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Physician Office
Lab Director GEORGE LEE DRAKE III

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