10D2257549 CLIA NUMBER - SOUTH PALM PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2257549
  • Facility Name: SOUTH PALM PRIMARY CARE LLC
  • Facility Address: 670 GLADES RD #110
    BOCA RATON, FL
    ZIP 33431
  • Facility Phone: 561 361-3133
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOANN YI
  • NPI Number: 1306413455
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2257549
LAB Type Physician Office
Facility Name SOUTH PALM PRIMARY CARE LLC
Street 670 GLADES RD #110
City BOCA RATON
State FL
ZIP 33431
Phone 561 361-3133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Physician Office
Lab Director JOANN YI

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