10D2221349 CLIA NUMBER - FIRSTLIGHT HOME CARE OF THE TREASURE COAST

Laboratory Demographics

  • CLIA Code: 10D2221349
  • Facility Name: FIRSTLIGHT HOME CARE OF THE TREASURE COAST
  • Facility Address: 1595 SE PORT ST LUCIE BLVD
    PORT SAINT LUCIE, FL
    ZIP 34952
  • Facility Phone: 772 579-3423
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MICHAEL R. SENCHAK
  • NPI Number: 1346609690
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2221349
LAB Type Home Health Agency
Facility Name FIRSTLIGHT HOME CARE OF THE TREASURE COAST
Street 1595 SE PORT ST LUCIE BLVD
City PORT SAINT LUCIE
State FL
ZIP 34952
Phone 772 579-3423
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Home Health Agency
Lab Director MICHAEL R. SENCHAK

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