10D0961901 CLIA NUMBER - SAMUEL L HEERING MD LLC

Laboratory Demographics

  • CLIA Code: 10D0961901
  • Facility Name: SAMUEL L HEERING MD LLC
  • Facility Address: 2500 N MILITARY TRAIL SUITE 111
    BOCA RATON, FL
    ZIP 33431
  • Facility Phone: 561 218-0767
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMUEL L. HEERING
  • NPI Number: 1417992967
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 10D0961901
LAB Type Physician Office
Facility Name SAMUEL L HEERING MD LLC
Street 2500 N MILITARY TRAIL SUITE 111
City BOCA RATON
State FL
ZIP 33431
Phone 561 218-0767
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Physician Office
Lab Director SAMUEL L. HEERING

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