10D0288607 CLIA NUMBER - PALM WEST INTERNIST PA

Laboratory Demographics

  • CLIA Code: 10D0288607
  • Facility Name: PALM WEST INTERNIST PA
  • Facility Address: 13005 SOUTHERN BLVD SUITE 241
    LOXAHATCHEE, FL
    ZIP 33470
  • Facility Phone: 561 790-5666
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE F. ALLONGO JR
  • NPI Number: 1295832640
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0288607
LAB Type Physician Office
Facility Name PALM WEST INTERNIST PA
Street 13005 SOUTHERN BLVD SUITE 241
City LOXAHATCHEE
State FL
ZIP 33470
Phone 561 790-5666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JOSE F. ALLONGO JR

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