10D1054473 CLIA NUMBER - IAN C BOYKIN MD

Laboratory Demographics

  • CLIA Code: 10D1054473
  • Facility Name: IAN C BOYKIN MD
  • Facility Address: 2000 NEBRASKA AVE
    FORT PIERCE, FL
    ZIP 34950
  • Facility Phone: 772 465-4444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IAN C. BOYKIN MD
  • NPI Number: 1891772596
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1054473
LAB Type Physician Office
Facility Name IAN C BOYKIN MD
Street 2000 NEBRASKA AVE
City FORT PIERCE
State FL
ZIP 34950
Phone 772 465-4444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Physician Office
Lab Director IAN C. BOYKIN MD

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