10D2039826 CLIA NUMBER - IMAGING CENTER OF LAKE WORTH WEST

Laboratory Demographics

  • CLIA Code: 10D2039826
  • Facility Name: IMAGING CENTER OF LAKE WORTH WEST
  • Facility Address: 7408 LAKE WORTH RD STE 200
    LAKE WORTH, FL
    ZIP 33467
  • Facility Phone: 561 964-6740
  • Facility Type: Other - OP DIAGNOSTIC IMAGING CTR
  • Facility Type: Waiver
  • Lab Director: RICHARD A. SARNER
  • NPI Number: 1639308042
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2039826
LAB Type Other - OP DIAGNOSTIC IMAGING CTR
Facility Name IMAGING CENTER OF LAKE WORTH WEST
Street 7408 LAKE WORTH RD STE 200
City LAKE WORTH
State FL
ZIP 33467
Phone 561 964-6740
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Other - OP DIAGNOSTIC IMAGING CTR
Lab Director RICHARD A. SARNER

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