10D2224276 CLIA NUMBER - FLORIDA PSYCHIATRY ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 10D2224276
  • Facility Name: FLORIDA PSYCHIATRY ASSOCIATES LLC
  • Facility Address: 1555 NW ST LUCIE WEST BLVD SUITE 201
    PORT SAINT LUCIE, FL
    ZIP 34986
  • Facility Phone: 772 878-7216
  • Facility Type: Other - PSYCHIATRIST/MED MGMT
  • Facility Type: Waiver
  • Lab Director: JOANNA VANVLEET
  • NPI Number: 1306120456
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2224276
LAB Type Other - PSYCHIATRIST/MED MGMT
Facility Name FLORIDA PSYCHIATRY ASSOCIATES LLC
Street 1555 NW ST LUCIE WEST BLVD SUITE 201
City PORT SAINT LUCIE
State FL
ZIP 34986
Phone 772 878-7216
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Other - PSYCHIATRIST/MED MGMT
Lab Director JOANNA VANVLEET

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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