10D2212792 CLIA NUMBER - ATLANTIC COAST PHLEBOTOMY INSTRUCTION LLC

Laboratory Demographics

  • CLIA Code: 10D2212792
  • Facility Name: ATLANTIC COAST PHLEBOTOMY INSTRUCTION LLC
  • Facility Address: 814 COCHRAN DRIVE
    LAKE WORTH, FL
    ZIP 33461
  • Facility Phone: 561 929-1373
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: TAMMY M. CAROLLO
  • NPI Number: 1730772823
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2212792
LAB Type Mobile Laboratory
Facility Name ATLANTIC COAST PHLEBOTOMY INSTRUCTION LLC
Street 814 COCHRAN DRIVE
City LAKE WORTH
State FL
ZIP 33461
Phone 561 929-1373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Mobile Laboratory
Lab Director TAMMY M. CAROLLO

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