10D2138281 CLIA NUMBER - PREMIUM PRACTICE SOLUTIONS LLC

Laboratory Demographics

  • CLIA Code: 10D2138281
  • Facility Name: PREMIUM PRACTICE SOLUTIONS LLC
  • Facility Address: 5340 N FEDERAL HWY SUITE 110
    LIGHTHOUSE POINT, FL
    ZIP 33064
  • Facility Phone: 954 428-2480
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CARLOS D. BEDETTI
  • NPI Number: 1164711214
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2138281
LAB Type Physician Office
Facility Name PREMIUM PRACTICE SOLUTIONS LLC
Street 5340 N FEDERAL HWY SUITE 110
City LIGHTHOUSE POINT
State FL
ZIP 33064
Phone 954 428-2480
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 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Physician Office
Lab Director CARLOS D. BEDETTI

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