10D2263775 CLIA NUMBER - TREASURE COAST MEDICAL

Laboratory Demographics

  • CLIA Code: 10D2263775
  • Facility Name: TREASURE COAST MEDICAL
  • Facility Address: 2011 S 25TH STREET #206
    FORT PIERCE, FL
    ZIP 34947
  • Facility Phone: 772 237-3600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADAM STERLACE
  • NPI Number: 1780602607
  • Taxonomy: 335E00000X - Prosthetic/Orthotic Supplier

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CLIA Record

Field Name Field Value
CLIA Number 10D2263775
LAB Type Physician Office
Facility Name TREASURE COAST MEDICAL
Street 2011 S 25TH STREET #206
City FORT PIERCE
State FL
ZIP 34947
Phone 772 237-3600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2024
Certificate Expiration Date 7/4/2026
Facility Type Physician Office
Lab Director ADAM STERLACE

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