10D1044531 CLIA NUMBER - GABRIELLA BONOMO MD PA

Laboratory Demographics

  • CLIA Code: 10D1044531
  • Facility Name: GABRIELLA BONOMO MD PA
  • Facility Address: 500 UNIVERSITY DR STE 201-203
    JUPITER, FL
    ZIP 33458
  • Facility Phone: 561 799-3770
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GABRIELLA BONOMO
  • NPI Number: 1770542888
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1044531
LAB Type Physician Office
Facility Name GABRIELLA BONOMO MD PA
Street 500 UNIVERSITY DR STE 201-203
City JUPITER
State FL
ZIP 33458
Phone 561 799-3770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Physician Office
Lab Director GABRIELLA BONOMO

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