10D2022165 CLIA NUMBER - NEUROLOGY CENTERS OF PALM BEACH

Laboratory Demographics

  • CLIA Code: 10D2022165
  • Facility Name: NEUROLOGY CENTERS OF PALM BEACH
  • Facility Address: 5458 TOWN CENTER RD STE 1
    BOCA RATON, FL
    ZIP 33486
  • Facility Phone: 561 392-2950
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA BANCHICK
  • NPI Number: 1225148166
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D2022165
LAB Type Physician Office
Facility Name NEUROLOGY CENTERS OF PALM BEACH
Street 5458 TOWN CENTER RD STE 1
City BOCA RATON
State FL
ZIP 33486
Phone 561 392-2950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Physician Office
Lab Director LISA BANCHICK

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