10D0993330 CLIA NUMBER - TENET FLORIDA PHYSICIAN SERVICES LLC

Laboratory Demographics

  • CLIA Code: 10D0993330
  • Facility Name: TENET FLORIDA PHYSICIAN SERVICES LLC
  • Facility Address: 3365 BURNS ROAD SUITE 215
    PALM BEACH GARDENS, FL
    ZIP 33410
  • Facility Phone: 561 655-9417
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANITA M. WILBORN
  • NPI Number: 1619613510
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 10D0993330
LAB Type Physician Office
Facility Name TENET FLORIDA PHYSICIAN SERVICES LLC
Street 3365 BURNS ROAD SUITE 215
City PALM BEACH GARDENS
State FL
ZIP 33410
Phone 561 655-9417
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Physician Office
Lab Director DR. ANITA M. WILBORN

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