10D2255577 CLIA NUMBER - MEDIMORE MD LLC

Laboratory Demographics

  • CLIA Code: 10D2255577
  • Facility Name: MEDIMORE MD LLC
  • Facility Address: 12797 FOREST HILL BOULEVARD SITE B
    WELLINGTON, FL
    ZIP 33414
  • Facility Phone: 561 467-5232
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUAN F. ZAPATA
  • NPI Number: 1861167686
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2255577
LAB Type Physician Office
Facility Name MEDIMORE MD LLC
Street 12797 FOREST HILL BOULEVARD SITE B
City WELLINGTON
State FL
ZIP 33414
Phone 561 467-5232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type Physician Office
Lab Director JUAN F. ZAPATA

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