10D2175076 CLIA NUMBER - DELRAY MEDICAL AND DENTAL

Laboratory Demographics

  • CLIA Code: 10D2175076
  • Facility Name: DELRAY MEDICAL AND DENTAL
  • Facility Address: 4765 W ATLANTIC AVENUE
    DELRAY BEACH, FL
    ZIP 33445
  • Facility Phone: 561 453-2273
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUIS A. MOYA
  • NPI Number: 1235323486
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2175076
LAB Type Physician Office
Facility Name DELRAY MEDICAL AND DENTAL
Street 4765 W ATLANTIC AVENUE
City DELRAY BEACH
State FL
ZIP 33445
Phone 561 453-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2023
Certificate Expiration Date 11/13/2025
Facility Type Physician Office
Lab Director LUIS A. MOYA

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