10D1070646 CLIA NUMBER - JOHNSON MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 10D1070646
  • Facility Name: JOHNSON MEDICAL SERVICES
  • Facility Address: 2531 N DIXIE HWY
    LAKE WORTH, FL
    ZIP 33460
  • Facility Phone: 561 582-0330
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: RAFAEL UDEDA
  • NPI Number: 1285871665
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1070646
LAB Type Community Clinic
Facility Name JOHNSON MEDICAL SERVICES
Street 2531 N DIXIE HWY
City LAKE WORTH
State FL
ZIP 33460
Phone 561 582-0330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2025
Certificate Expiration Date 7/4/2027
Facility Type Community Clinic
Lab Director RAFAEL UDEDA

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