10D2273488 CLIA NUMBER - SOMA MEDICAL CENTER PA #4

Laboratory Demographics

  • CLIA Code: 10D2273488
  • Facility Name: SOMA MEDICAL CENTER PA #4
  • Facility Address: 1402 ROYAL PALM BEACH BLVD STE 700
    ROYAL PALM BEACH, FL
    ZIP 33411
  • Facility Phone: 561 650-5636
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MERCEDES GADEA LOPEZ
  • NPI Number: 1568189330
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2273488
LAB Type Physician Office
Facility Name SOMA MEDICAL CENTER PA #4
Street 1402 ROYAL PALM BEACH BLVD STE 700
City ROYAL PALM BEACH
State FL
ZIP 33411
Phone 561 650-5636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Physician Office
Lab Director MERCEDES GADEA LOPEZ

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