10D2145518 CLIA NUMBER - ASL-DEN LLC DBA PBPGS

Laboratory Demographics

  • CLIA Code: 10D2145518
  • Facility Name: ASL-DEN LLC DBA PBPGS
  • Facility Address: 4N 1309 N FLAGER DR
    WEST PALM BEACH, FL
    ZIP 33401
  • Facility Phone: 561 650-6321
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: THOMAS A. BOLTON
  • NPI Number: 1770738650
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D2145518
LAB Type Independent
Facility Name ASL-DEN LLC DBA PBPGS
Street 4N 1309 N FLAGER DR
City WEST PALM BEACH
State FL
ZIP 33401
Phone 561 650-6321
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 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Independent
Lab Director THOMAS A. BOLTON

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