10D0993388 CLIA NUMBER - SAM F WANIS DO PA

Laboratory Demographics

  • CLIA Code: 10D0993388
  • Facility Name: SAM F WANIS DO PA
  • Facility Address: 2828 SOUTH SEACREST BLVD STE 201
    BOYNTON BEACH, FL
    ZIP 33435
  • Facility Phone: 561 969-3500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAM F. WANIS
  • NPI Number: 1235375122
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 10D0993388
LAB Type Physician Office
Facility Name SAM F WANIS DO PA
Street 2828 SOUTH SEACREST BLVD STE 201
City BOYNTON BEACH
State FL
ZIP 33435
Phone 561 969-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2023
Certificate Expiration Date 11/13/2025
Facility Type Physician Office
Lab Director SAM F. WANIS

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