10D0716765 CLIA NUMBER - ALBAN BACCHUS MD

Laboratory Demographics

  • CLIA Code: 10D0716765
  • Facility Name: ALBAN BACCHUS MD
  • Facility Address: 2889 10TH AVE N #301
    LAKE WORTH, FL
    ZIP 33461
  • Facility Phone: 561 966-2303
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALBAN B. BACCHUS MD
  • NPI Number: 1710176474
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0716765
LAB Type Physician Office
Facility Name ALBAN BACCHUS MD
Street 2889 10TH AVE N #301
City LAKE WORTH
State FL
ZIP 33461
Phone 561 966-2303
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 ALBAN B. BACCHUS MD

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