10D1098793 CLIA NUMBER - MAXICARE SELECT INC

Laboratory Demographics

  • CLIA Code: 10D1098793
  • Facility Name: MAXICARE SELECT INC
  • Facility Address: 1500 GATEWAY BLVD #220
    BOYNTON BEACH, FL
    ZIP 33426
  • Facility Phone: 561 894-8147
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SHAD BEAVERS
  • NPI Number: 1730260514
  • Taxonomy: 183500000X - Pharmacist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1098793
LAB Type Home Health Agency
Facility Name MAXICARE SELECT INC
Street 1500 GATEWAY BLVD #220
City BOYNTON BEACH
State FL
ZIP 33426
Phone 561 894-8147
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Home Health Agency
Lab Director SHAD BEAVERS

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