10D0939505 CLIA NUMBER - JOHNSON INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 10D0939505
  • Facility Name: JOHNSON INTERNAL MEDICINE
  • Facility Address: 1601 CLINT MOORE RD STE 155
    BOCA RATON, FL
    ZIP 33487
  • Facility Phone: 561 338-0700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARY FRAN PAINTER
  • NPI Number: 1285663096
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0939505
LAB Type Physician Office
Facility Name JOHNSON INTERNAL MEDICINE
Street 1601 CLINT MOORE RD STE 155
City BOCA RATON
State FL
ZIP 33487
Phone 561 338-0700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Physician Office
Lab Director MARY FRAN PAINTER

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