10D1106479 CLIA NUMBER - JOSE V CASTELLANOS MD PLLC

Laboratory Demographics

  • CLIA Code: 10D1106479
  • Facility Name: JOSE V CASTELLANOS MD PLLC
  • Facility Address: 900 NW 13TH ST SUITE 302
    BOCA RATON, FL
    ZIP 33486
  • Facility Phone: 561 391-5993
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE V. CASTELLANOS
  • NPI Number: 1831135235
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1106479
LAB Type Physician Office
Facility Name JOSE V CASTELLANOS MD PLLC
Street 900 NW 13TH ST SUITE 302
City BOCA RATON
State FL
ZIP 33486
Phone 561 391-5993
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2023
Certificate Expiration Date 10/14/2025
Facility Type Physician Office
Lab Director JOSE V. CASTELLANOS

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This page was last updated on: 3/20/2025