10D2149280 CLIA NUMBER - PCC MEDICAL HOLDINGS, LLC

Laboratory Demographics

  • CLIA Code: 10D2149280
  • Facility Name: PCC MEDICAL HOLDINGS, LLC
  • Facility Address: 1840 FOREST HILL BLVD, STE 100
    WEST PALM BEACH, FL
    ZIP 33406
  • Facility Phone: 561 766-2373
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGEL R. MESA
  • NPI Number: 1477967511
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2149280
LAB Type Physician Office
Facility Name PCC MEDICAL HOLDINGS, LLC
Street 1840 FOREST HILL BLVD, STE 100
City WEST PALM BEACH
State FL
ZIP 33406
Phone 561 766-2373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2024
Certificate Expiration Date 5/29/2026
Facility Type Physician Office
Lab Director ANGEL R. MESA

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