10D2300789 CLIA NUMBER - BLUEROCK MEDICAL LLC

Laboratory Demographics

  • CLIA Code: 10D2300789
  • Facility Name: BLUEROCK MEDICAL LLC
  • Facility Address: 810 N RIDGEWOOD DR
    SEBRING, FL
    ZIP 33870
  • Facility Phone: 863 658-2611
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JENNIE L. SPENCER
  • NPI Number: 1386408706
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2300789
LAB Type Practitioner Other
Facility Name BLUEROCK MEDICAL LLC
Street 810 N RIDGEWOOD DR
City SEBRING
State FL
ZIP 33870
Phone 863 658-2611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Practitioner Other
Lab Director JENNIE L. SPENCER

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