10D2090652 CLIA NUMBER - IDL MEDICAL PA

Laboratory Demographics

  • CLIA Code: 10D2090652
  • Facility Name: IDL MEDICAL PA
  • Facility Address: 8767 BOYNTON BEACH BLVD
    BOYNTON BEACH, FL
    ZIP 33472
  • Facility Phone: 561 734-5484
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: JANET RADFORD
  • NPI Number: 1487839635
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2090652
LAB Type Physician Office
Facility Name IDL MEDICAL PA
Street 8767 BOYNTON BEACH BLVD
City BOYNTON BEACH
State FL
ZIP 33472
Phone 561 734-5484
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Physician Office
Lab Director JANET RADFORD

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