10D2230761 CLIA NUMBER - CHANNAN MD PA

Laboratory Demographics

  • CLIA Code: 10D2230761
  • Facility Name: CHANNAN MD PA
  • Facility Address: 660 GLADES ROAD SUITE 140
    BOCA RATON, FL
    ZIP 33431
  • Facility Phone: 561 447-7737
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GITANJLI CHANNON
  • NPI Number: 1699344663
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2230761
LAB Type Physician Office
Facility Name CHANNAN MD PA
Street 660 GLADES ROAD SUITE 140
City BOCA RATON
State FL
ZIP 33431
Phone 561 447-7737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Physician Office
Lab Director GITANJLI CHANNON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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