10D1077907 CLIA NUMBER - GASTRO HEALTH PL

Laboratory Demographics

  • CLIA Code: 10D1077907
  • Facility Name: GASTRO HEALTH PL
  • Facility Address: 9980 CENTRAL PARK BLVD N STE 316
    BOCA RATON, FL
    ZIP 33428
  • Facility Phone: 561 206-6064
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ENRIQUE HERNANDEZ-SANCHEZ
  • NPI Number: 1245900869
  • Taxonomy: 2080P0206X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1077907
LAB Type Physician Office
Facility Name GASTRO HEALTH PL
Street 9980 CENTRAL PARK BLVD N STE 316
City BOCA RATON
State FL
ZIP 33428
Phone 561 206-6064
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Physician Office
Lab Director ENRIQUE HERNANDEZ-SANCHEZ

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