10D2251187 CLIA NUMBER - ST MARY AND ST ANTHONY LLC DBA ROYAL CARE PHARMACY

Laboratory Demographics

  • CLIA Code: 10D2251187
  • Facility Name: ST MARY AND ST ANTHONY LLC DBA ROYAL CARE PHARMACY
  • Facility Address: 378 SE PORT SAINT LUCIE BLVD
    PORT SAINT LUCIE, FL
    ZIP 34984
  • Facility Phone: 772 446-0098
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL MARZOUK
  • NPI Number: 1487224838
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2251187
LAB Type Pharmacy
Facility Name ST MARY AND ST ANTHONY LLC DBA ROYAL CARE PHARMACY
Street 378 SE PORT SAINT LUCIE BLVD
City PORT SAINT LUCIE
State FL
ZIP 34984
Phone 772 446-0098
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Pharmacy
Lab Director MICHAEL MARZOUK

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