10D2114963 CLIA NUMBER - BORIS HAVKIN PLLC

Laboratory Demographics

  • CLIA Code: 10D2114963
  • Facility Name: BORIS HAVKIN PLLC
  • Facility Address: 3021 W EAU GALLIE BLVD SUITE 103
    MELBOURNE, FL
    ZIP 32934
  • Facility Phone: 321 500-4545
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BORIS HAVKIN
  • NPI Number: 1609867696
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 10D2114963
LAB Type Physician Office
Facility Name BORIS HAVKIN PLLC
Street 3021 W EAU GALLIE BLVD SUITE 103
City MELBOURNE
State FL
ZIP 32934
Phone 321 500-4545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Physician Office
Lab Director BORIS HAVKIN

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