10D2273213 CLIA NUMBER - VITALBRIDGE HEALTH, PLLC

Laboratory Demographics

  • CLIA Code: 10D2273213
  • Facility Name: VITALBRIDGE HEALTH, PLLC
  • Facility Address: 1325 S CONGRESS AVENUE
    BOYNTON BEACH, FL
    ZIP 33426
  • Facility Phone: 561 823-1020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAY K. OBER
  • NPI Number: 1841913357
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2273213
LAB Type Physician Office
Facility Name VITALBRIDGE HEALTH, PLLC
Street 1325 S CONGRESS AVENUE
City BOYNTON BEACH
State FL
ZIP 33426
Phone 561 823-1020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Physician Office
Lab Director JAY K. OBER

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This page was last updated on: 6/4/2025