10D2007413 CLIA NUMBER - PALM BEACH GENERAL SURGERY LLC

Laboratory Demographics

  • CLIA Code: 10D2007413
  • Facility Name: PALM BEACH GENERAL SURGERY LLC
  • Facility Address: 160 JFK DR STE 102
    ATLANTIS, FL
    ZIP 33462
  • Facility Phone: 561 439-0961
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARLOS LEON
  • NPI Number: 1235326760
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D2007413
LAB Type Physician Office
Facility Name PALM BEACH GENERAL SURGERY LLC
Street 160 JFK DR STE 102
City ATLANTIS
State FL
ZIP 33462
Phone 561 439-0961
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Physician Office
Lab Director CARLOS LEON

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