10D2171150 CLIA NUMBER - FLORIDA ATLANTIC UNIVERSITY-COLLEGE OF MEDICINE

Laboratory Demographics

  • CLIA Code: 10D2171150
  • Facility Name: FLORIDA ATLANTIC UNIVERSITY-COLLEGE OF MEDICINE
  • Facility Address: 880 NW 13TH STREET STE 400
    BOCA RATON, FL
    ZIP 33486
  • Facility Phone: 561 566-5328
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEONARD K. BERKOWITZ
  • NPI Number: 1396211421
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2171150
LAB Type Physician Office
Facility Name FLORIDA ATLANTIC UNIVERSITY-COLLEGE OF MEDICINE
Street 880 NW 13TH STREET STE 400
City BOCA RATON
State FL
ZIP 33486
Phone 561 566-5328
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Physician Office
Lab Director LEONARD K. BERKOWITZ

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