10D2269712 CLIA NUMBER - 360 HEALTH SERVICES LLC

Laboratory Demographics

  • CLIA Code: 10D2269712
  • Facility Name: 360 HEALTH SERVICES LLC
  • Facility Address: 10042 SPANISH ISLES BLVD, D1
    BOCA RATON, FL
    ZIP 33498
  • Facility Phone: 855 360-5460
  • Facility Type: Health Main. Organization
  • Facility Type: Waiver
  • Lab Director: ANNIE CASTA
  • NPI Number: 1073150603
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 10D2269712
LAB Type Health Main. Organization
Facility Name 360 HEALTH SERVICES LLC
Street 10042 SPANISH ISLES BLVD, D1
City BOCA RATON
State FL
ZIP 33498
Phone 855 360-5460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Health Main. Organization
Lab Director ANNIE CASTA

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