10D0286510 CLIA NUMBER - ROBERT A WACKS MD

Laboratory Demographics

  • CLIA Code: 10D0286510
  • Facility Name: ROBERT A WACKS MD
  • Facility Address: 1501 PRESIDENTIAL WAY STE 1
    WEST PALM BEACH, FL
    ZIP 33401
  • Facility Phone: 561 844-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT A. WACKS MD
  • NPI Number: 1518991637
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0286510
LAB Type Physician Office
Facility Name ROBERT A WACKS MD
Street 1501 PRESIDENTIAL WAY STE 1
City WEST PALM BEACH
State FL
ZIP 33401
Phone 561 844-8899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director ROBERT A. WACKS MD

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