10D0876130 CLIA NUMBER - PALM GARDEN OF WEST PALM BEACH

Laboratory Demographics

  • CLIA Code: 10D0876130
  • Facility Name: PALM GARDEN OF WEST PALM BEACH
  • Facility Address: 300 EXECUTIVE CENTER DRIVE
    WEST PALM BEACH, FL
    ZIP 33401
  • Facility Phone: 561 471-5566
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JESSE MOORE
  • NPI Number: 1114923356
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0876130
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PALM GARDEN OF WEST PALM BEACH
Street 300 EXECUTIVE CENTER DRIVE
City WEST PALM BEACH
State FL
ZIP 33401
Phone 561 471-5566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JESSE MOORE

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