10D2235959 CLIA NUMBER - COASTAL CONCIERGE INTERNAL MEDICINE, PLLC

Laboratory Demographics

  • CLIA Code: 10D2235959
  • Facility Name: COASTAL CONCIERGE INTERNAL MEDICINE, PLLC
  • Facility Address: 1411 NORTH FLAGLER DRIVE SUITE 6700
    WEST PALM BEACH, FL
    ZIP 33401
  • Facility Phone: 561 768-4018
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JANA MCKENZIE
  • NPI Number: 1376125302
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2235959
LAB Type Physician Office
Facility Name COASTAL CONCIERGE INTERNAL MEDICINE, PLLC
Street 1411 NORTH FLAGLER DRIVE SUITE 6700
City WEST PALM BEACH
State FL
ZIP 33401
Phone 561 768-4018
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Physician Office
Lab Director JANA MCKENZIE

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