10D2132563 CLIA NUMBER - IAN S GOLDBAUM DPM PA

Laboratory Demographics

  • CLIA Code: 10D2132563
  • Facility Name: IAN S GOLDBAUM DPM PA
  • Facility Address: 16244 S MILITARY TRL STE 290
    DELRAY BEACH, FL
    ZIP 33484
  • Facility Phone: 561 499-0033
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. CARLOS D. BEDETTI
  • NPI Number: 1407079874
  • Taxonomy: 213E00000X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 10D2132563
LAB Type Physician Office
Facility Name IAN S GOLDBAUM DPM PA
Street 16244 S MILITARY TRL STE 290
City DELRAY BEACH
State FL
ZIP 33484
Phone 561 499-0033
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/22/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. CARLOS D. BEDETTI

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