Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
10D2309099
|
|
Clinical laboratory number
|
|
Lab Name
|
WELLNESS360 PRIMARY CARE
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
772-446-3403
|
|
Laboratory telephone number
|
|
Fax
|
772-807-1636
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
1700 SE HILLMOOR DRIVE SUITE 305
|
|
Primary location adress line
|
|
City
|
PORT SAINT LUCIE
|
|
Primary location city name
|
|
State
|
FL
|
|
Primary location state name
|
|
Zip
|
34952
|
|
Primary location postal code
|