10D0956642 CLIA NUMBER - DAVID SIMON DO

Laboratory Demographics

  • CLIA Code: 10D0956642
  • Facility Name: DAVID SIMON DO
  • Facility Address: 101 SOUTH FEDERAL HWY
    LAKE WORTH, FL
    ZIP 33460
  • Facility Phone: 561 582-1091
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID SIMON
  • NPI Number: 1912979279
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0956642
LAB Type Physician Office
Facility Name DAVID SIMON DO
Street 101 SOUTH FEDERAL HWY
City LAKE WORTH
State FL
ZIP 33460
Phone 561 582-1091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Physician Office
Lab Director DAVID SIMON

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