CLIA lab

CLIA 10D2233056: Bespoke Health and Wellness, PLLC

Boca Raton, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D2233056 belongs to Bespoke Health and Wellness, PLLC in Boca Raton, FL.

Certificate of Waiver, effective August 19, 2025, expires August 18, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
August 19, 2025
Certificate expiration
August 18, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 19, 2021
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
10D2233056
Lab name
Bespoke Health and Wellness, PLLC
Address
1500 NW 10th Avenue Suite 105, Boca Raton, FL 33486
Phone
(561) 717-7057
Fax
(561) 717-7110

Annual test volume the lab reported

Waived tests
1,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Bespoke Health and Wellness, PLLC in Boca Raton?

10D2233056, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Bespoke Health and Wellness, PLLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2233056 expire?

The CMS file lists August 18, 2027 as the certificate expiration date; the certificate took effect August 19, 2025.

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