10D2221619 CLIA NUMBER - ISAAC MEDICAL GROUP, LLC

Laboratory Demographics

  • CLIA Code: 10D2221619
  • Facility Name: ISAAC MEDICAL GROUP, LLC
  • Facility Address: 823 E HILLSBORO BLVD
    DEERFIELD BEACH, FL
    ZIP 33441
  • Facility Phone: 954 400-1588
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EMMANUEL ISAAC
  • NPI Number: 1043809973
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2221619
LAB Type Physician Office
Facility Name ISAAC MEDICAL GROUP, LLC
Street 823 E HILLSBORO BLVD
City DEERFIELD BEACH
State FL
ZIP 33441
Phone 954 400-1588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Physician Office
Lab Director EMMANUEL ISAAC

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