10D0929531 CLIA NUMBER - BOCA RATON PHYSICIANS PA

Laboratory Demographics

  • CLIA Code: 10D0929531
  • Facility Name: BOCA RATON PHYSICIANS PA
  • Facility Address: 1905 CLINT MOORE RD STE 201
    BOCA RATON, FL
    ZIP 33496
  • Facility Phone: 561 994-5454
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: GLENN L. RUBIN
  • NPI Number: 1093728214
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0929531
LAB Type Physician Office
Facility Name BOCA RATON PHYSICIANS PA
Street 1905 CLINT MOORE RD STE 201
City BOCA RATON
State FL
ZIP 33496
Phone 561 994-5454
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/22/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director GLENN L. RUBIN

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