10D2285178 CLIA NUMBER - CHRISTOPHER J PRUSINSKI DO PA

Laboratory Demographics

  • CLIA Code: 10D2285178
  • Facility Name: CHRISTOPHER J PRUSINSKI DO PA
  • Facility Address: 1310 W EAU GALLIE BOULEVARD SUITE B
    MELBOURNE, FL
    ZIP 32935
  • Facility Phone: 321 421-6566
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER J. PRUSINSKI DO PA
  • NPI Number: 1467556779
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 10D2285178
LAB Type Physician Office
Facility Name CHRISTOPHER J PRUSINSKI DO PA
Street 1310 W EAU GALLIE BOULEVARD SUITE B
City MELBOURNE
State FL
ZIP 32935
Phone 321 421-6566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Physician Office
Lab Director CHRISTOPHER J. PRUSINSKI DO PA

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