10D2199898 CLIA NUMBER - CONVIVA MEDICAL CENTER MANAGEMENT LLC DBA CONVIVA CARE CENTER

Laboratory Demographics

  • CLIA Code: 10D2199898
  • Facility Name: CONVIVA MEDICAL CENTER MANAGEMENT LLC DBA CONVIVA CARE CENTER
  • Facility Address: 848 NORTH FEDERAL HWY
    POMPANO BEACH, FL
    ZIP 33062
  • Facility Phone: 954 787-3024
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. MACHEK
  • NPI Number: 1366104382
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2199898
LAB Type Physician Office
Facility Name CONVIVA MEDICAL CENTER MANAGEMENT LLC DBA CONVIVA CARE CENTER
Street 848 NORTH FEDERAL HWY
City POMPANO BEACH
State FL
ZIP 33062
Phone 954 787-3024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Physician Office
Lab Director MICHAEL A. MACHEK

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