10D2184396 CLIA NUMBER - CONCIERGE HEALTH & REJUVENATION SOLUTIONS

Laboratory Demographics

  • CLIA Code: 10D2184396
  • Facility Name: CONCIERGE HEALTH & REJUVENATION SOLUTIONS
  • Facility Address: 7025 BERACASA WAY STE 205
    BOCA RATON, FL
    ZIP 33433
  • Facility Phone: 561 292-0036
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LYRIS VENDURA-DOMINIC
  • NPI Number: 1760009138
  • Taxonomy: 363LA2200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2184396
LAB Type Practitioner Other
Facility Name CONCIERGE HEALTH & REJUVENATION SOLUTIONS
Street 7025 BERACASA WAY STE 205
City BOCA RATON
State FL
ZIP 33433
Phone 561 292-0036
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Practitioner Other
Lab Director LYRIS VENDURA-DOMINIC

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