10D2039878 CLIA NUMBER - ITZHAK NIR MD PA DBA PRESTIGE SURGERY CTR

Laboratory Demographics

  • CLIA Code: 10D2039878
  • Facility Name: ITZHAK NIR MD PA DBA PRESTIGE SURGERY CTR
  • Facility Address: 13005 SOUTHERN BLVD STE 232
    LOXAHATCHEE, FL
    ZIP 33470
  • Facility Phone: 561 753-3331
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ITZHAK NIR
  • NPI Number: 1124015482
  • Taxonomy: 2086S0122X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D2039878
LAB Type Physician Office
Facility Name ITZHAK NIR MD PA DBA PRESTIGE SURGERY CTR
Street 13005 SOUTHERN BLVD STE 232
City LOXAHATCHEE
State FL
ZIP 33470
Phone 561 753-3331
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 Physician Office
Lab Director ITZHAK NIR

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