10D2004374 CLIA NUMBER - ALAN K GRUSKIN DO PA

Laboratory Demographics

  • CLIA Code: 10D2004374
  • Facility Name: ALAN K GRUSKIN DO PA
  • Facility Address: 900 NW 13TH STREET STE 104
    BOCA RATON, FL
    ZIP 33486
  • Facility Phone: 561 394-3587
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALAN K. GRUSKIN
  • NPI Number: 1174586515
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 10D2004374
LAB Type Physician Office
Facility Name ALAN K GRUSKIN DO PA
Street 900 NW 13TH STREET STE 104
City BOCA RATON
State FL
ZIP 33486
Phone 561 394-3587
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Physician Office
Lab Director ALAN K. GRUSKIN

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