10D2112891 CLIA NUMBER - FLORIDA GASTRO PARTNERS LLC

Laboratory Demographics

  • CLIA Code: 10D2112891
  • Facility Name: FLORIDA GASTRO PARTNERS LLC
  • Facility Address: 1325 S CONGRESS AVE #115
    BOYNTON BEACH, FL
    ZIP 33426
  • Facility Phone: 561 498-4000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK R. DOSCH
  • NPI Number: 1689112989
  • Taxonomy: 174400000X - Specialist

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Physician Office
Lab Director MARK R. DOSCH

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