10D0662808 CLIA NUMBER - CONCENTRA - POMPANO BEACH

Laboratory Demographics

  • CLIA Code: 10D0662808
  • Facility Name: CONCENTRA - POMPANO BEACH
  • Facility Address: 311 S CYPRESS RD
    POMPANO BEACH, FL
    ZIP 33060
  • Facility Phone: 954 781-7248
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GUSTAVO P. GRAVE
  • NPI Number: 1497232581
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0662808
LAB Type Physician Office
Facility Name CONCENTRA - POMPANO BEACH
Street 311 S CYPRESS RD
City POMPANO BEACH
State FL
ZIP 33060
Phone 954 781-7248
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Physician Office
Lab Director GUSTAVO P. GRAVE

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