10D0944569 CLIA NUMBER - MARK W GOCKE MD PA

Laboratory Demographics

  • CLIA Code: 10D0944569
  • Facility Name: MARK W GOCKE MD PA
  • Facility Address: 900 VILLAGE SQUARE CROSSING SUITE #150
    PALM BEACH GARDENS, FL
    ZIP 33410
  • Facility Phone: 561 354-1002
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK W. GOCKE MD
  • NPI Number: 1215983697
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0944569
LAB Type Physician Office
Facility Name MARK W GOCKE MD PA
Street 900 VILLAGE SQUARE CROSSING SUITE #150
City PALM BEACH GARDENS
State FL
ZIP 33410
Phone 561 354-1002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Physician Office
Lab Director MARK W. GOCKE MD

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