10D2299854 CLIA NUMBER - ANGEL HANDS DIAGNOSTICS LLC

Laboratory Demographics

  • CLIA Code: 10D2299854
  • Facility Name: ANGEL HANDS DIAGNOSTICS LLC
  • Facility Address: 2261 SW IVORY RD
    PORT SAINT LUCIE, FL
    ZIP 34953
  • Facility Phone: 772 207-6391
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: SHARON E. COOPER
  • NPI Number: 1730937004
  • Taxonomy: 247ZC0005X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 10D2299854
LAB Type Mobile Laboratory
Facility Name ANGEL HANDS DIAGNOSTICS LLC
Street 2261 SW IVORY RD
City PORT SAINT LUCIE
State FL
ZIP 34953
Phone 772 207-6391
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2024
Certificate Expiration Date 2/27/2026
Facility Type Mobile Laboratory
Lab Director SHARON E. COOPER

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