10D2300182 CLIA NUMBER - PRIMOMD, LLC

Laboratory Demographics

  • CLIA Code: 10D2300182
  • Facility Name: PRIMOMD, LLC
  • Facility Address: 3040 NORTH WICKHAM RD SUITE 6
    MELBOURNE, FL
    ZIP 32935
  • Facility Phone: 321 226-8607
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY SCHIRRIPA
  • NPI Number: 1083484984
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2300182
LAB Type Physician Office
Facility Name PRIMOMD, LLC
Street 3040 NORTH WICKHAM RD SUITE 6
City MELBOURNE
State FL
ZIP 32935
Phone 321 226-8607
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Physician Office
Lab Director ANTHONY SCHIRRIPA

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