10D1103302 CLIA NUMBER - JFK INTERNAL MEDICINE FACULTY PRACTICE

Laboratory Demographics

  • CLIA Code: 10D1103302
  • Facility Name: JFK INTERNAL MEDICINE FACULTY PRACTICE
  • Facility Address: 180 JFK DR STE 210
    ATLANTIS, FL
    ZIP 33462
  • Facility Phone: 561 548-1450
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HEATHER WAYLAND
  • NPI Number: 1467614651
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D1103302
LAB Type Physician Office
Facility Name JFK INTERNAL MEDICINE FACULTY PRACTICE
Street 180 JFK DR STE 210
City ATLANTIS
State FL
ZIP 33462
Phone 561 548-1450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Physician Office
Lab Director HEATHER WAYLAND

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