10D0665433 CLIA NUMBER - PARDO FORSTOT BACA & ALBOUKREK PA

Laboratory Demographics

  • CLIA Code: 10D0665433
  • Facility Name: PARDO FORSTOT BACA & ALBOUKREK PA
  • Facility Address: 1050 NW 15 ST STE 212A
    BOCA RATON, FL
    ZIP 33486
  • Facility Phone: 561 368-6650
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SHAWN BACA
  • NPI Number: 1003919093
  • Taxonomy: 207RR0500X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0665433
LAB Type Physician Office
Facility Name PARDO FORSTOT BACA & ALBOUKREK PA
Street 1050 NW 15 ST STE 212A
City BOCA RATON
State FL
ZIP 33486
Phone 561 368-6650
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Physician Office
Lab Director SHAWN BACA

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