10D2306316 CLIA NUMBER - DIAMOND OUTPATIENT LLC

Laboratory Demographics

  • CLIA Code: 10D2306316
  • Facility Name: DIAMOND OUTPATIENT LLC
  • Facility Address: 11891 US HWY 1 SUITE 104
    NORTH PALM BEACH, FL
    ZIP 33408
  • Facility Phone: (561) 305-0629
  • Facility Type: Other - OUTPATIENT MENTAL HEALTH
  • Facility Type: Waiver
  • Lab Director: EDWIN ANTONIO GOMEZ
  • NPI Number: 1720887904
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2306316
LAB Type Other - OUTPATIENT MENTAL HEALTH
Facility Name DIAMOND OUTPATIENT LLC
Street 11891 US HWY 1 SUITE 104
City NORTH PALM BEACH
State FL
ZIP 33408
Phone 5613050629
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2024
Certificate Expiration Date 6/13/2026
Facility Type Other - OUTPATIENT MENTAL HEALTH
Lab Director EDWIN ANTONIO GOMEZ

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This page was last updated on: 5/18/2026