10D2072827 CLIA NUMBER - FLORIDA BACK INSTITUTE INC

Laboratory Demographics

  • CLIA Code: 10D2072827
  • Facility Name: FLORIDA BACK INSTITUTE INC
  • Facility Address: 1905 CLINT MOORE RD STE 309
    BOCA RATON, FL
    ZIP 33496
  • Facility Phone: 561 988-8988
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY C. FERNYHOUGH
  • NPI Number: 1295916468
  • Taxonomy: 207XS0117X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D2072827
LAB Type Physician Office
Facility Name FLORIDA BACK INSTITUTE INC
Street 1905 CLINT MOORE RD STE 309
City BOCA RATON
State FL
ZIP 33496
Phone 561 988-8988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Physician Office
Lab Director JEFFREY C. FERNYHOUGH

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