10D1096175 CLIA NUMBER - DELRAY BEACH FACIAL PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 10D1096175
  • Facility Name: DELRAY BEACH FACIAL PLASTIC SURGERY
  • Facility Address: 250 DIXIE BLVD
    DELRAY BEACH, FL
    ZIP 33444
  • Facility Phone: 561 278-3245
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOHN G. WESTINE
  • NPI Number: 1124357363
  • Taxonomy: 2082S0099X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D1096175
LAB Type Ambulatory Surgery Center
Facility Name DELRAY BEACH FACIAL PLASTIC SURGERY
Street 250 DIXIE BLVD
City DELRAY BEACH
State FL
ZIP 33444
Phone 561 278-3245
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Ambulatory Surgery Center
Lab Director JOHN G. WESTINE

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