10D2020594 CLIA NUMBER - AYMEN L ATALLAH MD

Laboratory Demographics

  • CLIA Code: 10D2020594
  • Facility Name: AYMEN L ATALLAH MD
  • Facility Address: 505 SE 6TH AVENUE
    BOYNTON BEACH, FL
    ZIP 33435
  • Facility Phone: 561 736-8806
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AYMEN L. ATALLAH
  • NPI Number: 1417902339
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2020594
LAB Type Physician Office
Facility Name AYMEN L ATALLAH MD
Street 505 SE 6TH AVENUE
City BOYNTON BEACH
State FL
ZIP 33435
Phone 561 736-8806
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Physician Office
Lab Director AYMEN L. ATALLAH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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