10D1103473 CLIA NUMBER - CONVIVA MEDICAL CENTER MANAGEMENT LLC DBA CONVIVA CARE CENTER

Laboratory Demographics

  • CLIA Code: 10D1103473
  • Facility Name: CONVIVA MEDICAL CENTER MANAGEMENT LLC DBA CONVIVA CARE CENTER
  • Facility Address: 1979 W HILLSBORO BLVD STE 1
    DEERFIELD BEACH, FL
    ZIP 33442
  • Facility Phone: 954 428-4800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NATALIA RODRIGUEZ
  • NPI Number: 1871246090
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1103473
LAB Type Physician Office
Facility Name CONVIVA MEDICAL CENTER MANAGEMENT LLC DBA CONVIVA CARE CENTER
Street 1979 W HILLSBORO BLVD STE 1
City DEERFIELD BEACH
State FL
ZIP 33442
Phone 954 428-4800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Physician Office
Lab Director DR. NATALIA RODRIGUEZ

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