10D2238108 CLIA NUMBER - FIRST CHOICE HEALTHCARE AND COUNSELING LLC

Laboratory Demographics

CLIA Number: 10D2238108

Facility Name: FIRST CHOICE HEALTHCARE AND COUNSELING LLC

Facility Address:
608 S US HWY 1
FORT PIERCE, FL
ZIP 34951
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Facility Phone Number: 772 216-6750

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1427432715

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	10D2238108
LAB Type	Physician Office
Facility Name	FIRST CHOICE HEALTHCARE AND COUNSELING LLC
Street	608 S US HWY 1
City	FORT PIERCE
State	FL
ZIP	34951
Phone	772 216-6750
CertificateType	4
CertificateEffectiveDate	9/30/2023
CertificateExpirationDate	9/29/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024