10D1079642 CLIA NUMBER - ADDISON MIZNER MEDICAL LLC

Laboratory Demographics

  • CLIA Code: 10D1079642
  • Facility Name: ADDISON MIZNER MEDICAL LLC
  • Facility Address: 233 S FEDERAL HWY STE 103
    BOCA RATON, FL
    ZIP 33432
  • Facility Phone: 561 347-2996
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DAYANA SIERRA
  • NPI Number: 1902090202
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1079642
LAB Type Mobile Laboratory
Facility Name ADDISON MIZNER MEDICAL LLC
Street 233 S FEDERAL HWY STE 103
City BOCA RATON
State FL
ZIP 33432
Phone 561 347-2996
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Mobile Laboratory
Lab Director DAYANA SIERRA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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