10D2108738 CLIA NUMBER - ADAM J KATZ DPM PA D/B/A PREMIER PODIATRY GROUP

Laboratory Demographics

CLIA Number: 10D2108738

Facility Name: ADAM J KATZ DPM PA D/B/A PREMIER PODIATRY GROUP

Facility Address:
6080 W BOYNTON BEACH BLVD 100
BOYNTON BEACH, FL
ZIP 33437
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Facility Phone Number: 561 364-9584

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1639236359

Taxonomy: 213ES0103X - Podiatrist

CLIA Record

Field Name	Field Value
CLIA Number	10D2108738
LAB Type	Physician Office
Facility Name	ADAM J KATZ DPM PA D/B/A PREMIER PODIATRY GROUP
Street	6080 W BOYNTON BEACH BLVD 100
City	BOYNTON BEACH
State	FL
ZIP	33437
Phone	561 364-9584
CertificateType	2
CertificateEffectiveDate	3/23/2022
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024