10D2315104 CLIA NUMBER - JUPITER MEDICAL CENTER PHYSICIANS GROUP, INC

Laboratory Demographics

  • CLIA Code: 10D2315104
  • Facility Name: JUPITER MEDICAL CENTER PHYSICIANS GROUP, INC
  • Facility Address: 1240 S OLD DIXIE HIGHWAY
    JUPITER, FL
    ZIP 33458
  • Facility Phone: 561 263-3312
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PATRICK TENBRINK
  • NPI Number: 1851318299
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2315104
LAB Type Physician Office
Facility Name JUPITER MEDICAL CENTER PHYSICIANS GROUP, INC
Street 1240 S OLD DIXIE HIGHWAY
City JUPITER
State FL
ZIP 33458
Phone 561 263-3312
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Physician Office
Lab Director PATRICK TENBRINK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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