10D2215157 CLIA NUMBER - CONCIERGENP

Laboratory Demographics

  • CLIA Code: 10D2215157
  • Facility Name: CONCIERGENP
  • Facility Address: 1001 N FEDERAL HIGHWAY, STE 341
    HALLANDALE BEACH, FL
    ZIP 33009
  • Facility Phone: 754 444-9173
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: BETHANY ELLIS
  • NPI Number: 1760096135
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2215157
LAB Type Mobile Laboratory
Facility Name CONCIERGENP
Street 1001 N FEDERAL HIGHWAY, STE 341
City HALLANDALE BEACH
State FL
ZIP 33009
Phone 754 444-9173
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Mobile Laboratory
Lab Director BETHANY ELLIS

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