10D0680397 CLIA NUMBER - JEFFREY PAUL GALLY MD PA

Laboratory Demographics

  • CLIA Code: 10D0680397
  • Facility Name: JEFFREY PAUL GALLY MD PA
  • Facility Address: 3880 COCONUT CREEK PARKWAY SUITE 102
    COCONUT CREEK, FL
    ZIP 33066
  • Facility Phone: 305 971-6188
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY P. GALLY
  • NPI Number: 1497057640
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0680397
LAB Type Physician Office
Facility Name JEFFREY PAUL GALLY MD PA
Street 3880 COCONUT CREEK PARKWAY SUITE 102
City COCONUT CREEK
State FL
ZIP 33066
Phone 305 971-6188
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 JEFFREY P. GALLY

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