10D2201089 CLIA NUMBER - DR B MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 10D2201089
  • Facility Name: DR B MEDICAL PLLC
  • Facility Address: 1905 CLINT MOORE RD STE 202
    BOCA RATON, FL
    ZIP 33496
  • Facility Phone: 561 757-5530
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALLYSON C. BAGENHOLM
  • NPI Number: 1881217081
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2201089
LAB Type Physician Office
Facility Name DR B MEDICAL PLLC
Street 1905 CLINT MOORE RD STE 202
City BOCA RATON
State FL
ZIP 33496
Phone 561 757-5530
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Physician Office
Lab Director ALLYSON C. BAGENHOLM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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