10D0942145 CLIA NUMBER - CONVIVA MEDICAL CENTER MANAGEMENT LLC DBA CONVIVA CARE CENTER

Laboratory Demographics

  • CLIA Code: 10D0942145
  • Facility Name: CONVIVA MEDICAL CENTER MANAGEMENT LLC DBA CONVIVA CARE CENTER
  • Facility Address: 1200 S MAIN ST STE 200
    BELLE GLADE, FL
    ZIP 33430
  • Facility Phone: 561 996-2024
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADOLFO T. COLMAN
  • NPI Number: 1992785513
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0942145
LAB Type Physician Office
Facility Name CONVIVA MEDICAL CENTER MANAGEMENT LLC DBA CONVIVA CARE CENTER
Street 1200 S MAIN ST STE 200
City BELLE GLADE
State FL
ZIP 33430
Phone 561 996-2024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Physician Office
Lab Director ADOLFO T. COLMAN

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