10D2245070 CLIA NUMBER - ST MARY AND ST ANTHONY LLC (ROYAL CARE PHARMACY)

Laboratory Demographics

  • CLIA Code: 10D2245070
  • Facility Name: ST MARY AND ST ANTHONY LLC (ROYAL CARE PHARMACY)
  • Facility Address: 5045 TURNPIKE FEEDER RD
    FORT PIERCE, FL
    ZIP 34951
  • Facility Phone: 772 742-8091
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: IRENE MARZOUK
  • NPI Number: 1396325684
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2245070
LAB Type Pharmacy
Facility Name ST MARY AND ST ANTHONY LLC (ROYAL CARE PHARMACY)
Street 5045 TURNPIKE FEEDER RD
City FORT PIERCE
State FL
ZIP 34951
Phone 772 742-8091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Pharmacy
Lab Director IRENE MARZOUK

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