10D0940408 CLIA NUMBER - CONVIA MEDICAL CENTER MANAGEMENT LLC DBA CONVIA SENIOR PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D0940408
  • Facility Name: CONVIA MEDICAL CENTER MANAGEMENT LLC DBA CONVIA SENIOR PRIMARY CARE
  • Facility Address: 6894 LAKE WORTH RD STE 104
    LAKE WORTH, FL
    ZIP 33467
  • Facility Phone: 561 642-2800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEE EPSTEIN
  • NPI Number: 1497727432
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0940408
LAB Type Physician Office
Facility Name CONVIA MEDICAL CENTER MANAGEMENT LLC DBA CONVIA SENIOR PRIMARY CARE
Street 6894 LAKE WORTH RD STE 104
City LAKE WORTH
State FL
ZIP 33467
Phone 561 642-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director LEE EPSTEIN

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