10D0287186 CLIA NUMBER - PCC MEDICAL HOLDINGS, LLC

Laboratory Demographics

  • CLIA Code: 10D0287186
  • Facility Name: PCC MEDICAL HOLDINGS, LLC
  • Facility Address: 2070 SOUTH MILITARY TRAIL #106
    WEST PALM BEACH, FL
    ZIP 33415
  • Facility Phone: 561 353-1225
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIELLE REID
  • NPI Number: 1154371953
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0287186
LAB Type Physician Office
Facility Name PCC MEDICAL HOLDINGS, LLC
Street 2070 SOUTH MILITARY TRAIL #106
City WEST PALM BEACH
State FL
ZIP 33415
Phone 561 353-1225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Physician Office
Lab Director DANIELLE REID

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