10D2226940 CLIA NUMBER - CONVIVA MEDICAL CENTER MANAGEMENT LLC DBA CONVIVA CARE CENTER

Laboratory Demographics

  • CLIA Code: 10D2226940
  • Facility Name: CONVIVA MEDICAL CENTER MANAGEMENT LLC DBA CONVIVA CARE CENTER
  • Facility Address: 3795 W BOYNTON BEACH BLVD SUITE A
    BOYNTON BEACH, FL
    ZIP 33436
  • Facility Phone: (561) 738-7900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID ROSENBLUM DONATH
  • NPI Number: 1235877275
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2226940
LAB Type Physician Office
Facility Name CONVIVA MEDICAL CENTER MANAGEMENT LLC DBA CONVIVA CARE CENTER
Street 3795 W BOYNTON BEACH BLVD SUITE A
City BOYNTON BEACH
State FL
ZIP 33436
Phone 5617387900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Physician Office
Lab Director DAVID ROSENBLUM DONATH

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This page was last updated on: 5/18/2026