10D1044793 CLIA NUMBER - PCC MEDICAL HOLDINGS, LLC

Laboratory Demographics

  • CLIA Code: 10D1044793
  • Facility Name: PCC MEDICAL HOLDINGS, LLC
  • Facility Address: 1840 FOREST HILL BLVD STE 100
    WEST PALM BEACH, FL
    ZIP 33406
  • Facility Phone: 561 964-5161
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROSA C. CUELLO
  • NPI Number: 1265628176
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1044793
LAB Type Physician Office
Facility Name PCC MEDICAL HOLDINGS, LLC
Street 1840 FOREST HILL BLVD STE 100
City WEST PALM BEACH
State FL
ZIP 33406
Phone 561 964-5161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Physician Office
Lab Director ROSA C. CUELLO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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