10D1062686 CLIA NUMBER - INTERNAL MEDICINE OF BOYNTON BEACH

Laboratory Demographics

  • CLIA Code: 10D1062686
  • Facility Name: INTERNAL MEDICINE OF BOYNTON BEACH
  • Facility Address: 8190 JOG RD SUITE #100
    BOYNTON BEACH, FL
    ZIP 33437
  • Facility Phone: 561 369-2144
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GERARDO QUINONEZ
  • NPI Number: 1073533683
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1062686
LAB Type Physician Office
Facility Name INTERNAL MEDICINE OF BOYNTON BEACH
Street 8190 JOG RD SUITE #100
City BOYNTON BEACH
State FL
ZIP 33437
Phone 561 369-2144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Physician Office
Lab Director GERARDO QUINONEZ

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