10D2195511 CLIA NUMBER - FLORIDA ATLANTIC UNIVERSITY

Laboratory Demographics

  • CLIA Code: 10D2195511
  • Facility Name: FLORIDA ATLANTIC UNIVERSITY
  • Facility Address: 777 GLADES RD TOM OXLEY BLDG ROOM 148
    BOCA RATON, FL
    ZIP 33431
  • Facility Phone: 560 297-2044
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: CRAIG WILDER
  • NPI Number: 1053736405
  • Taxonomy: 311500000X - Alzheimer Center (Dementia Center)

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CLIA Record

Field Name Field Value
CLIA Number 10D2195511
LAB Type School/Student Health Service
Facility Name FLORIDA ATLANTIC UNIVERSITY
Street 777 GLADES RD TOM OXLEY BLDG ROOM 148
City BOCA RATON
State FL
ZIP 33431
Phone 560 297-2044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2024
Certificate Expiration Date 10/8/2026
Facility Type School/Student Health Service
Lab Director CRAIG WILDER

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