10D2038009 CLIA NUMBER - JACK I NEWCOMER MD PA

Laboratory Demographics

  • CLIA Code: 10D2038009
  • Facility Name: JACK I NEWCOMER MD PA
  • Facility Address: 3319 STATE ROAD 7 STE 108
    WELLINGTON, FL
    ZIP 33449
  • Facility Phone: 561 798-2800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JACK I. NEWCOMER
  • NPI Number: 1750498259
  • Taxonomy: 207QS0010X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2038009
LAB Type Physician Office
Facility Name JACK I NEWCOMER MD PA
Street 3319 STATE ROAD 7 STE 108
City WELLINGTON
State FL
ZIP 33449
Phone 561 798-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Physician Office
Lab Director DR. JACK I. NEWCOMER

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