10D0913031 CLIA NUMBER - PALM BEACH PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 10D0913031
  • Facility Name: PALM BEACH PEDIATRICS LLC
  • Facility Address: 6080 BOYNTON BEACH BLVD.
    BOYNTON BEACH, FL
    ZIP 33437
  • Facility Phone: 319 936-6898
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL GLAZIER
  • NPI Number: 1508047952
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0913031
LAB Type Physician Office
Facility Name PALM BEACH PEDIATRICS LLC
Street 6080 BOYNTON BEACH BLVD.
City BOYNTON BEACH
State FL
ZIP 33437
Phone 319 936-6898
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2024
Certificate Expiration Date 6/13/2026
Facility Type Physician Office
Lab Director DR. MICHAEL GLAZIER

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