10D0909364 CLIA NUMBER - INNOVATIVE GX FLORIDA INC

Laboratory Demographics

  • CLIA Code: 10D0909364
  • Facility Name: INNOVATIVE GX FLORIDA INC
  • Facility Address: 4805 NW 2ND AVE
    BOCA RATON, FL
    ZIP 33431
  • Facility Phone: 561 235-3883
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. MAX O. SOLANO
  • NPI Number: 1891721536
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D0909364
LAB Type Independent
Facility Name INNOVATIVE GX FLORIDA INC
Street 4805 NW 2ND AVE
City BOCA RATON
State FL
ZIP 33431
Phone 561 235-3883
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Independent
Lab Director DR. MAX O. SOLANO

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