10D2238212 CLIA NUMBER - CONVIVA MEDICAL CENTER MANAGEMENT LLC DBA CONVIVA CARE CENTER

Laboratory Demographics

  • CLIA Code: 10D2238212
  • Facility Name: CONVIVA MEDICAL CENTER MANAGEMENT LLC DBA CONVIVA CARE CENTER
  • Facility Address: 1601 S CONGRESS AVE
    DELRAY BEACH, FL
    ZIP 33445
  • Facility Phone: (561) 276-8444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAROCHE VLADIMIR
  • NPI Number: 1235876426
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2238212
LAB Type Physician Office
Facility Name CONVIVA MEDICAL CENTER MANAGEMENT LLC DBA CONVIVA CARE CENTER
Street 1601 S CONGRESS AVE
City DELRAY BEACH
State FL
ZIP 33445
Phone 5612768444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Physician Office
Lab Director LAROCHE VLADIMIR

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