10D2112891 CLIA NUMBER - FLORIDA GASTRO PARTNERS LLC

Laboratory Demographics

CLIA Number: 10D2112891

Facility Name: FLORIDA GASTRO PARTNERS LLC

Facility Address:
1325 S CONGRESS AVE #115
BOYNTON BEACH, FL
ZIP 33426
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Facility Phone Number: 561 498-4000

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1689112989

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D2112891
LAB Type	Physician Office
Facility Name	FLORIDA GASTRO PARTNERS LLC
Street	1325 S CONGRESS AVE #115
City	BOYNTON BEACH
State	FL
ZIP	33426
Phone	561 498-4000
CertificateType	4
CertificateEffectiveDate	5/11/2024
CertificateExpirationDate	5/10/2026
FacilityType	Waiver

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