10D1041401 CLIA NUMBER - WILLIAM I ROTH MD PA

Laboratory Demographics

  • CLIA Code: 10D1041401
  • Facility Name: WILLIAM I ROTH MD PA
  • Facility Address: 10075 JOG RD SUITE 206
    BOYNTON BEACH, FL
    ZIP 33437
  • Facility Phone: 561 731-4900
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. WILLIAM I. ROTH
  • NPI Number: 1801902846
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D1041401
LAB Type Physician Office
Facility Name WILLIAM I ROTH MD PA
Street 10075 JOG RD SUITE 206
City BOYNTON BEACH
State FL
ZIP 33437
Phone 561 731-4900
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Physician Office
Lab Director DR. WILLIAM I. ROTH

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