10D0953607 CLIA NUMBER - JORGE L MACIA MD AND ROSA M MARIN MD PA

Laboratory Demographics

  • CLIA Code: 10D0953607
  • Facility Name: JORGE L MACIA MD AND ROSA M MARIN MD PA
  • Facility Address: 115 SE 4TH STREET
    BOYNTON BEACH, FL
    ZIP 33435
  • Facility Phone: 561 732-2701
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JORGE L. MACIA MD
  • NPI Number: 1851486468
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0953607
LAB Type Physician Office
Facility Name JORGE L MACIA MD AND ROSA M MARIN MD PA
Street 115 SE 4TH STREET
City BOYNTON BEACH
State FL
ZIP 33435
Phone 561 732-2701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type Physician Office
Lab Director JORGE L. MACIA MD

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