10D1090987 CLIA NUMBER - TAMARA LISS MD PA

Laboratory Demographics

  • CLIA Code: 10D1090987
  • Facility Name: TAMARA LISS MD PA
  • Facility Address: 801 MEADOWS RD STE 108
    BOCA RATON, FL
    ZIP 33486
  • Facility Phone: 561 347-9044
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAMARA LISS MD
  • NPI Number: 1023273489
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1090987
LAB Type Physician Office
Facility Name TAMARA LISS MD PA
Street 801 MEADOWS RD STE 108
City BOCA RATON
State FL
ZIP 33486
Phone 561 347-9044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Physician Office
Lab Director TAMARA LISS MD

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