10D0903545 CLIA NUMBER - GASTRO HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 10D0903545
  • Facility Name: GASTRO HEALTH, LLC
  • Facility Address: 6135 LAKE WORTH ROAD
    LAKE WORTH, FL
    ZIP 33463
  • Facility Phone: 855 427-8761
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL S. URBAN
  • NPI Number: 1912605007
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0903545
LAB Type Physician Office
Facility Name GASTRO HEALTH, LLC
Street 6135 LAKE WORTH ROAD
City LAKE WORTH
State FL
ZIP 33463
Phone 855 427-8761
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Physician Office
Lab Director MICHAEL S. URBAN

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