10D2200109 CLIA NUMBER - PAMELA M ERMINE DO LLC

Laboratory Demographics

  • CLIA Code: 10D2200109
  • Facility Name: PAMELA M ERMINE DO LLC
  • Facility Address: 10151 ENTERPRISE CENTER BLVD SUITE 102
    BOYNTON BEACH, FL
    ZIP 33437
  • Facility Phone: 561 536-7884
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAMELA ERMINE
  • NPI Number: 1508887506
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2200109
LAB Type Physician Office
Facility Name PAMELA M ERMINE DO LLC
Street 10151 ENTERPRISE CENTER BLVD SUITE 102
City BOYNTON BEACH
State FL
ZIP 33437
Phone 561 536-7884
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Physician Office
Lab Director PAMELA ERMINE

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