10D0979214 CLIA NUMBER - RUSSEL S GLAUN MD PA

Laboratory Demographics

  • CLIA Code: 10D0979214
  • Facility Name: RUSSEL S GLAUN MD PA
  • Facility Address: 1590 NW 10TH AVE STE 304
    BOCA RATON, FL
    ZIP 33486
  • Facility Phone: 561 392-4558
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. RUSSEL S. GLAUN
  • NPI Number: 1265468417
  • Taxonomy: 207ND0900X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0979214
LAB Type Physician Office
Facility Name RUSSEL S GLAUN MD PA
Street 1590 NW 10TH AVE STE 304
City BOCA RATON
State FL
ZIP 33486
Phone 561 392-4558
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Physician Office
Lab Director DR. RUSSEL S. GLAUN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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