10D2036762 CLIA NUMBER - SOUTH PALM EYE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 10D2036762
  • Facility Name: SOUTH PALM EYE ASSOCIATES
  • Facility Address: 10301 HAGEN RANCH RD STE 500
    BOYNTON BEACH, FL
    ZIP 33437
  • Facility Phone: 561 737-4040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH A. KASTEN
  • NPI Number: 1487726345
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 10D2036762
LAB Type Physician Office
Facility Name SOUTH PALM EYE ASSOCIATES
Street 10301 HAGEN RANCH RD STE 500
City BOYNTON BEACH
State FL
ZIP 33437
Phone 561 737-4040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2024
Certificate Expiration Date 2/12/2026
Facility Type Physician Office
Lab Director KENNETH A. KASTEN

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