10D2277327 CLIA NUMBER - PHOENIX MOLECULAR LLC

Laboratory Demographics

  • CLIA Code: 10D2277327
  • Facility Name: PHOENIX MOLECULAR LLC
  • Facility Address: 129 NW 13TH ST STE 23
    BOCA RATON, FL
    ZIP 33432
  • Facility Phone: 561 612-8811
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. JAMES FULLER
  • NPI Number: 1407555097
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D2277327
LAB Type Independent
Facility Name PHOENIX MOLECULAR LLC
Street 129 NW 13TH ST STE 23
City BOCA RATON
State FL
ZIP 33432
Phone 561 612-8811
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type Independent
Lab Director DR. JAMES FULLER

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