10D1104600 CLIA NUMBER - ISRAEL MACHIN MD PA

Laboratory Demographics

  • CLIA Code: 10D1104600
  • Facility Name: ISRAEL MACHIN MD PA
  • Facility Address: 1511 FOREST HILL BLVD STE C
    LAKE CLARKE SHORES, FL
    ZIP 33406
  • Facility Phone: 561 433-3556
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YAMIRKA MACHIN
  • NPI Number: 1295711349
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1104600
LAB Type Physician Office
Facility Name ISRAEL MACHIN MD PA
Street 1511 FOREST HILL BLVD STE C
City LAKE CLARKE SHORES
State FL
ZIP 33406
Phone 561 433-3556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Physician Office
Lab Director YAMIRKA MACHIN

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