10D0719142 CLIA NUMBER - GREGORY WEATHERFORD MD

Laboratory Demographics

  • CLIA Code: 10D0719142
  • Facility Name: GREGORY WEATHERFORD MD
  • Facility Address: 2609 WOOLBRIGHT RD SUITE #1
    BOYNTON BEACH, FL
    ZIP 33436
  • Facility Phone: 561 734-8400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY S. WEATHERFORD
  • NPI Number: 1073667689
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0719142
LAB Type Physician Office
Facility Name GREGORY WEATHERFORD MD
Street 2609 WOOLBRIGHT RD SUITE #1
City BOYNTON BEACH
State FL
ZIP 33436
Phone 561 734-8400
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 GREGORY S. WEATHERFORD

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