10D2193307 CLIA NUMBER - FLORIDA SPINE ASSOCIATES, LLC

Laboratory Demographics

  • CLIA Code: 10D2193307
  • Facility Name: FLORIDA SPINE ASSOCIATES, LLC
  • Facility Address: 670 GLADES ROAD STE 200
    BOCA RATON, FL
    ZIP 33431
  • Facility Phone: 919 766-8791
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MS. SYDNEY D. WALDRUP
  • NPI Number: 1821113192
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D2193307
LAB Type Physician Office
Facility Name FLORIDA SPINE ASSOCIATES, LLC
Street 670 GLADES ROAD STE 200
City BOCA RATON
State FL
ZIP 33431
Phone 919 766-8791
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type Physician Office
Lab Director MS. SYDNEY D. WALDRUP

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