10D2002349 CLIA NUMBER - JUPITER MEDICAL CENTER WOUND CARE CENTER

Laboratory Demographics

  • CLIA Code: 10D2002349
  • Facility Name: JUPITER MEDICAL CENTER WOUND CARE CENTER
  • Facility Address: 1004 S OLD DIXIE HWY STE 203
    JUPITER, FL
    ZIP 33458
  • Facility Phone: 561 263-2234
  • Facility Type: Other - WOUND CARE CENTER
  • Facility Type: Waiver
  • Lab Director: PAUL D. GAREN
  • NPI Number: 1619415403
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2002349
LAB Type Other - WOUND CARE CENTER
Facility Name JUPITER MEDICAL CENTER WOUND CARE CENTER
Street 1004 S OLD DIXIE HWY STE 203
City JUPITER
State FL
ZIP 33458
Phone 561 263-2234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Other - WOUND CARE CENTER
Lab Director PAUL D. GAREN

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