10D2048535 CLIA NUMBER - SUBHASH C GUPTA MD

Laboratory Demographics

  • CLIA Code: 10D2048535
  • Facility Name: SUBHASH C GUPTA MD
  • Facility Address: 601 E SAMPLE RD STE 105
    POMPANO BEACH, FL
    ZIP 33064
  • Facility Phone: 954 943-1133
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUBHASH C. GUPTA
  • NPI Number: 1881652956
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2048535
LAB Type Physician Office
Facility Name SUBHASH C GUPTA MD
Street 601 E SAMPLE RD STE 105
City POMPANO BEACH
State FL
ZIP 33064
Phone 954 943-1133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Physician Office
Lab Director SUBHASH C. GUPTA

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