10D2235774 CLIA NUMBER - ATLAS INFECTIOUS DISEASE PRACTICE PLLC

Laboratory Demographics

  • CLIA Code: 10D2235774
  • Facility Name: ATLAS INFECTIOUS DISEASE PRACTICE PLLC
  • Facility Address: 5401 S CONGRESS AVENUE SUITE 201
    ATLANTIS, FL
    ZIP 33462
  • Facility Phone: 561 995-6971
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH ETTIENNE
  • NPI Number: 1326655846
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2235774
LAB Type Physician Office
Facility Name ATLAS INFECTIOUS DISEASE PRACTICE PLLC
Street 5401 S CONGRESS AVENUE SUITE 201
City ATLANTIS
State FL
ZIP 33462
Phone 561 995-6971
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Physician Office
Lab Director JOSEPH ETTIENNE

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