10D2291390 CLIA NUMBER - TLC CONCIERGE MOBILE LAB, LLC

Laboratory Demographics

  • CLIA Code: 10D2291390
  • Facility Name: TLC CONCIERGE MOBILE LAB, LLC
  • Facility Address: 433 PLAZA REAL, STE 275
    BOCA RATON, FL
    ZIP 33432
  • Facility Phone: (213) 315-3909
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: VANESSA MOSS
  • NPI Number: 1982476040
  • Taxonomy: 247ZC0005X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 10D2291390
LAB Type Mobile Laboratory
Facility Name TLC CONCIERGE MOBILE LAB, LLC
Street 433 PLAZA REAL, STE 275
City BOCA RATON
State FL
ZIP 33432
Phone 2133153909
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2025
Certificate Expiration Date 10/9/2027
Facility Type Mobile Laboratory
Lab Director VANESSA MOSS

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This page was last updated on: 5/15/2026