10D2291662 CLIA NUMBER - SERGEY A KALITENKO PHYSICIAN PC

Laboratory Demographics

  • CLIA Code: 10D2291662
  • Facility Name: SERGEY A KALITENKO PHYSICIAN PC
  • Facility Address: 8295 N MILITARY TRAIL SUITE R
    PALM BEACH GARDENS, FL
    ZIP 33410
  • Facility Phone: (718) 382-9200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SERGEY KALITENKO
  • NPI Number: 1376860007
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2291662
LAB Type Physician Office
Facility Name SERGEY A KALITENKO PHYSICIAN PC
Street 8295 N MILITARY TRAIL SUITE R
City PALM BEACH GARDENS
State FL
ZIP 33410
Phone 7183829200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Physician Office
Lab Director SERGEY KALITENKO

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