10D1032093 CLIA NUMBER - AMIT UPADHIAYA DO PA

Laboratory Demographics

  • CLIA Code: 10D1032093
  • Facility Name: AMIT UPADHIAYA DO PA
  • Facility Address: 1 W SAMPLE RD STE 305
    DEERFIELD BEACH, FL
    ZIP 33064
  • Facility Phone: 954 782-3170
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMIT UPADHIAYA DO
  • NPI Number: 1417938499
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1032093
LAB Type Physician Office
Facility Name AMIT UPADHIAYA DO PA
Street 1 W SAMPLE RD STE 305
City DEERFIELD BEACH
State FL
ZIP 33064
Phone 954 782-3170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Physician Office
Lab Director AMIT UPADHIAYA DO

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