10D1075523 CLIA NUMBER - STUART B KROST MD PA

Laboratory Demographics

CLIA Number: 10D1075523

Facility Name: STUART B KROST MD PA

Facility Address:
2290 10TH AVE, NORTH STE 201
LAKE WORTH, FL
ZIP 33461
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Facility Phone Number: 561 296-2220

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1295922573

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D1075523
LAB Type	Physician Office
Facility Name	STUART B KROST MD PA
Street	2290 10TH AVE, NORTH STE 201
City	LAKE WORTH
State	FL
ZIP	33461
Phone	561 296-2220
CertificateType	4
CertificateEffectiveDate	5/14/2024
CertificateExpirationDate	5/13/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024