10D0690920 CLIA NUMBER - BOCA FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 10D0690920
  • Facility Name: BOCA FAMILY PRACTICE
  • Facility Address: 7100 WEST CAMINO REAL SUITE 200
    BOCA RATON, FL
    ZIP 33433
  • Facility Phone: (561) 391-6552
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BOB M. GAJRAJ
  • NPI Number: 1235276627
  • Taxonomy: 363AM0700X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 10D0690920
LAB Type Physician Office
Facility Name BOCA FAMILY PRACTICE
Street 7100 WEST CAMINO REAL SUITE 200
City BOCA RATON
State FL
ZIP 33433
Phone 5613916552
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 BOB M. GAJRAJ

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This page was last updated on: 5/18/2026