10D0940819 CLIA NUMBER - JUPITER CONCIERGE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 10D0940819
  • Facility Name: JUPITER CONCIERGE FAMILY PRACTICE
  • Facility Address: 2141 ALT A1A S STE 200
    JUPITER, FL
    ZIP 33477
  • Facility Phone: 561 743-0005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID C. ROSENBERG
  • NPI Number: 1265593024
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0940819
LAB Type Physician Office
Facility Name JUPITER CONCIERGE FAMILY PRACTICE
Street 2141 ALT A1A S STE 200
City JUPITER
State FL
ZIP 33477
Phone 561 743-0005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2024
Certificate Expiration Date 2/17/2026
Facility Type Physician Office
Lab Director DAVID C. ROSENBERG

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