10D2323690 CLIA NUMBER - ASCENDMED LLC

Laboratory Demographics

  • CLIA Code: 10D2323690
  • Facility Name: ASCENDMED LLC
  • Facility Address: 5458 TOWN CENTER ROAD, SUITE 2
    BOCA RATON, FL
    ZIP 33486
  • Facility Phone: 561 954-4998
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTINE RICE
  • NPI Number: 1316778665
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2323690
LAB Type Physician Office
Facility Name ASCENDMED LLC
Street 5458 TOWN CENTER ROAD, SUITE 2
City BOCA RATON
State FL
ZIP 33486
Phone 561 954-4998
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Physician Office
Lab Director CHRISTINE RICE

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