10D0992278 CLIA NUMBER - KAREN KUTIKOFF MD PA

Laboratory Demographics

  • CLIA Code: 10D0992278
  • Facility Name: KAREN KUTIKOFF MD PA
  • Facility Address: 12957 PALMS WEST DR STE 201 BLDG 9
    LOXAHATCHEE, FL
    ZIP 33470
  • Facility Phone: 561 790-3750
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAREN R. KUTIKOFF
  • NPI Number: 1710997994
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0992278
LAB Type Physician Office
Facility Name KAREN KUTIKOFF MD PA
Street 12957 PALMS WEST DR STE 201 BLDG 9
City LOXAHATCHEE
State FL
ZIP 33470
Phone 561 790-3750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2023
Certificate Expiration Date 10/10/2025
Facility Type Physician Office
Lab Director KAREN R. KUTIKOFF

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This page was last updated on: 3/20/2025