10D2280188 CLIA NUMBER - DIABETES & THYROID CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2280188
  • Facility Name: DIABETES & THYROID CARE LLC
  • Facility Address: 540 NW UNIVERSITY BLVD, 107
    PORT SAINT LUCIE, FL
    ZIP 34986
  • Facility Phone: 772 873-7114
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GABRIEL GUERRERO
  • NPI Number: 1366145807
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2280188
LAB Type Physician Office
Facility Name DIABETES & THYROID CARE LLC
Street 540 NW UNIVERSITY BLVD, 107
City PORT SAINT LUCIE
State FL
ZIP 34986
Phone 772 873-7114
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Physician Office
Lab Director GABRIEL GUERRERO

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