10D1029202 CLIA NUMBER - CONVIVA MEDICAL CENTER MANAGEMENT LLC DBA CONVIVA SENIOR PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D1029202
  • Facility Name: CONVIVA MEDICAL CENTER MANAGEMENT LLC DBA CONVIVA SENIOR PRIMARY CARE
  • Facility Address: 7720 BOYNTON BEACH BLVD
    BOYNTON BEACH, FL
    ZIP 33437
  • Facility Phone: 561 364-4840
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIELA M. MAYER-ROSENTHAL
  • NPI Number: 1770156010
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1029202
LAB Type Physician Office
Facility Name CONVIVA MEDICAL CENTER MANAGEMENT LLC DBA CONVIVA SENIOR PRIMARY CARE
Street 7720 BOYNTON BEACH BLVD
City BOYNTON BEACH
State FL
ZIP 33437
Phone 561 364-4840
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Physician Office
Lab Director DANIELA M. MAYER-ROSENTHAL

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