10D1055454 CLIA NUMBER - SOUTH DADE PRIMARY CARE LLC DBA CLAREMEDICA OF DEERFIELD BEACH

Laboratory Demographics

  • CLIA Code: 10D1055454
  • Facility Name: SOUTH DADE PRIMARY CARE LLC DBA CLAREMEDICA OF DEERFIELD BEACH
  • Facility Address: 1500 E HILLSBORO BLVD, STE 210
    DEERFIELD BEACH, FL
    ZIP 33441
  • Facility Phone: 954 419-9632
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GLENN BUYO
  • NPI Number: 1679850523
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1055454
LAB Type Physician Office
Facility Name SOUTH DADE PRIMARY CARE LLC DBA CLAREMEDICA OF DEERFIELD BEACH
Street 1500 E HILLSBORO BLVD, STE 210
City DEERFIELD BEACH
State FL
ZIP 33441
Phone 954 419-9632
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Physician Office
Lab Director GLENN BUYO

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