10D0997608 CLIA NUMBER - HUMANITY MD LLC

Laboratory Demographics

  • CLIA Code: 10D0997608
  • Facility Name: HUMANITY MD LLC
  • Facility Address: 1630 SOUTH CONGRESS AVE
    PALM SPRINGS, FL
    ZIP 33461
  • Facility Phone: 561 472-2888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: COLT R. DUNTEMAN
  • NPI Number: 1275547697
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0997608
LAB Type Physician Office
Facility Name HUMANITY MD LLC
Street 1630 SOUTH CONGRESS AVE
City PALM SPRINGS
State FL
ZIP 33461
Phone 561 472-2888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Physician Office
Lab Director COLT R. DUNTEMAN

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