10D0723189 CLIA NUMBER - GASTRO HEALTH INTERNAL MEDICINE, LCC

Laboratory Demographics

  • CLIA Code: 10D0723189
  • Facility Name: GASTRO HEALTH INTERNAL MEDICINE, LCC
  • Facility Address: 8329 W SUNRISE BLVD
    PLANTATION, FL
    ZIP 33322
  • Facility Phone: 954 627-1617
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY S. LUCKMAN
  • NPI Number: 1114695434
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0723189
LAB Type Physician Office
Facility Name GASTRO HEALTH INTERNAL MEDICINE, LCC
Street 8329 W SUNRISE BLVD
City PLANTATION
State FL
ZIP 33322
Phone 954 627-1617
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 GARY S. LUCKMAN

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