10D1102300 CLIA NUMBER - EISENMAN & EISENMAN MD LLC

Laboratory Demographics

  • CLIA Code: 10D1102300
  • Facility Name: EISENMAN & EISENMAN MD LLC
  • Facility Address: 5065 SR 7 STE 201
    LAKE WORTH, FL
    ZIP 33454
  • Facility Phone: 561 753-7487
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD E. EISENMAN MD
  • NPI Number: 1225062243
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1102300
LAB Type Physician Office
Facility Name EISENMAN & EISENMAN MD LLC
Street 5065 SR 7 STE 201
City LAKE WORTH
State FL
ZIP 33454
Phone 561 753-7487
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Physician Office
Lab Director RICHARD E. EISENMAN MD

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