10D2227593 CLIA NUMBER - FAIRVIEW AVENUE LLC DBA BRIGHTSTAR CARE OF SAINT LUCIE & INDIAN RIVER COUNTIES

Laboratory Demographics

  • CLIA Code: 10D2227593
  • Facility Name: FAIRVIEW AVENUE LLC DBA BRIGHTSTAR CARE OF SAINT LUCIE & INDIAN RIVER COUNTIES
  • Facility Address: 3850 20TH ST SUITE 7
    VERO BEACH, FL
    ZIP 32960
  • Facility Phone: 407 572-0070
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KELSEA GRAVELY
  • NPI Number: 1386101368
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2227593
LAB Type Home Health Agency
Facility Name FAIRVIEW AVENUE LLC DBA BRIGHTSTAR CARE OF SAINT LUCIE & INDIAN RIVER COUNTIES
Street 3850 20TH ST SUITE 7
City VERO BEACH
State FL
ZIP 32960
Phone 407 572-0070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Home Health Agency
Lab Director KELSEA GRAVELY

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