10D2311195 CLIA NUMBER - QUALITY CARE MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 10D2311195
  • Facility Name: QUALITY CARE MEDICINE LLC
  • Facility Address: 2270 INDIAN RIVER BLVD SUITE 400 Q
    VERO BEACH, FL
    ZIP 32960
  • Facility Phone: 772 907-5935
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: WILHELM MARTEZIAN
  • NPI Number: 1306127709
  • Taxonomy: 363LA2200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2311195
LAB Type Practitioner Other
Facility Name QUALITY CARE MEDICINE LLC
Street 2270 INDIAN RIVER BLVD SUITE 400 Q
City VERO BEACH
State FL
ZIP 32960
Phone 772 907-5935
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Practitioner Other
Lab Director WILHELM MARTEZIAN

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