10D2240236 CLIA NUMBER - ST LUCIE MEDICAL SPECIALIST LLC

Laboratory Demographics

  • CLIA Code: 10D2240236
  • Facility Name: ST LUCIE MEDICAL SPECIALIST LLC
  • Facility Address: 293 NW PEACOCK BLVD SUITE 204
    PORT SAINT LUCIE, FL
    ZIP 34986
  • Facility Phone: 772 336-6601
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUSTIN MUSKOVICH
  • NPI Number: 1609269034
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 10D2240236
LAB Type Physician Office
Facility Name ST LUCIE MEDICAL SPECIALIST LLC
Street 293 NW PEACOCK BLVD SUITE 204
City PORT SAINT LUCIE
State FL
ZIP 34986
Phone 772 336-6601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2023
Certificate Expiration Date 10/17/2025
Facility Type Physician Office
Lab Director JUSTIN MUSKOVICH

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