10D2145985 CLIA NUMBER - GENESIS COMMUNITY HEALTH, INC ATLANTIC HIGH SCHOOL CLINIC

Laboratory Demographics

  • CLIA Code: 10D2145985
  • Facility Name: GENESIS COMMUNITY HEALTH, INC ATLANTIC HIGH SCHOOL CLINIC
  • Facility Address: 2455 W ATLANTIC AVE
    DELRAY BEACH, FL
    ZIP 33445
  • Facility Phone: 561 806-6835
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DEANNA M. WARREN
  • NPI Number: 1871936336
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2145985
LAB Type Federally Qualified Health Center
Facility Name GENESIS COMMUNITY HEALTH, INC ATLANTIC HIGH SCHOOL CLINIC
Street 2455 W ATLANTIC AVE
City DELRAY BEACH
State FL
ZIP 33445
Phone 561 806-6835
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Federally Qualified Health Center
Lab Director DEANNA M. WARREN

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This page was last updated on: 6/4/2025