10D0714591 CLIA NUMBER - BRUCE WISHNOV DO PA

Laboratory Demographics

  • CLIA Code: 10D0714591
  • Facility Name: BRUCE WISHNOV DO PA
  • Facility Address: 22065 STATE ROAD 7
    BOCA RATON, FL
    ZIP 33428
  • Facility Phone: (561) 488-4847
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRUCE WISHNOV
  • NPI Number: 1134296395
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0714591
LAB Type Physician Office
Facility Name BRUCE WISHNOV DO PA
Street 22065 STATE ROAD 7
City BOCA RATON
State FL
ZIP 33428
Phone 5614884847
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Physician Office
Lab Director BRUCE WISHNOV

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