10D2091076 CLIA NUMBER - GENESISCARE USA OF FLORIDA, LLC

Laboratory Demographics

  • CLIA Code: 10D2091076
  • Facility Name: GENESISCARE USA OF FLORIDA, LLC
  • Facility Address: 1309 N FLAGLER DR
    WEST PALM BEACH, FL
    ZIP 33401
  • Facility Phone: 239 938-9370
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL J. MARK
  • NPI Number: 1083083307
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 10D2091076
LAB Type Physician Office
Facility Name GENESISCARE USA OF FLORIDA, LLC
Street 1309 N FLAGLER DR
City WEST PALM BEACH
State FL
ZIP 33401
Phone 239 938-9370
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Physician Office
Lab Director DANIEL J. MARK

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