10D2259163 CLIA NUMBER - COMPASSIONATE MEDICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2259163
  • Facility Name: COMPASSIONATE MEDICAL CENTER LLC
  • Facility Address: 1600 36TH STREET SUITE C
    VERO BEACH, FL
    ZIP 32960
  • Facility Phone: 352 799-0046
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER COPPOLA
  • NPI Number: 1740200211
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2259163
LAB Type Physician Office
Facility Name COMPASSIONATE MEDICAL CENTER LLC
Street 1600 36TH STREET SUITE C
City VERO BEACH
State FL
ZIP 32960
Phone 352 799-0046
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Physician Office
Lab Director CHRISTOPHER COPPOLA

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