10D2307320 CLIA NUMBER - LEGACY MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 10D2307320
  • Facility Name: LEGACY MEDICAL PLLC
  • Facility Address: 11380 PROSPERITY FARMS RD STE 114
    PALM BEACH GARDENS, FL
    ZIP 33410
  • Facility Phone: 561 316-7199
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YANA SHTERN
  • NPI Number: 1609647866
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2307320
LAB Type Physician Office
Facility Name LEGACY MEDICAL PLLC
Street 11380 PROSPERITY FARMS RD STE 114
City PALM BEACH GARDENS
State FL
ZIP 33410
Phone 561 316-7199
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Physician Office
Lab Director YANA SHTERN

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