10D2209223 CLIA NUMBER - PRIME CARE VIP LLC

Laboratory Demographics

  • CLIA Code: 10D2209223
  • Facility Name: PRIME CARE VIP LLC
  • Facility Address: 14 SE 4TH STREET SUITE 26
    BOCA RATON, FL
    ZIP 33432
  • Facility Phone: 561 948-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAINEY Z. KIEFFER
  • NPI Number: 1154162493
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2209223
LAB Type Physician Office
Facility Name PRIME CARE VIP LLC
Street 14 SE 4TH STREET SUITE 26
City BOCA RATON
State FL
ZIP 33432
Phone 561 948-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Physician Office
Lab Director LAINEY Z. KIEFFER

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