10D2327588 CLIA NUMBER - DAVID A LICKSTEIN MD LLC DBA LICKSTEIN PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 10D2327588
  • Facility Name: DAVID A LICKSTEIN MD LLC DBA LICKSTEIN PLASTIC SURGERY
  • Facility Address: 5540 PGA BLVD SUITE 200
    PALM BEACH GARDENS, FL
    ZIP 33418
  • Facility Phone: 561 571-4000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID A. LICKSTEIN
  • NPI Number: 1275642183
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D2327588
LAB Type Physician Office
Facility Name DAVID A LICKSTEIN MD LLC DBA LICKSTEIN PLASTIC SURGERY
Street 5540 PGA BLVD SUITE 200
City PALM BEACH GARDENS
State FL
ZIP 33418
Phone 561 571-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2025
Certificate Expiration Date 7/23/2027
Facility Type Physician Office
Lab Director DAVID A. LICKSTEIN

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