10D1070682 CLIA NUMBER - SUSSMAN OBGYN LLC

Laboratory Demographics

  • CLIA Code: 10D1070682
  • Facility Name: SUSSMAN OBGYN LLC
  • Facility Address: 7301A W PALMETTO PARK RD STE 200B
    BOCA RATON, FL
    ZIP 33433
  • Facility Phone: (561) 394-4473
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TRACY BURTON
  • NPI Number: 1588287437
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 10D1070682
LAB Type Physician Office
Facility Name SUSSMAN OBGYN LLC
Street 7301A W PALMETTO PARK RD STE 200B
City BOCA RATON
State FL
ZIP 33433
Phone 5613944473
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 Physician Office
Lab Director TRACY BURTON

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This page was last updated on: 6/29/2026