10D0271327 CLIA NUMBER - JAY HOSPITAL INC DBA CENTURY MEDICAL CENTER

Laboratory Demographics

CLIA Number: 10D0271327

Facility Name: JAY HOSPITAL INC DBA CENTURY MEDICAL CENTER

Facility Address:
8401 N CENTURY BLVD
CENTURY, FL
ZIP 32535
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Facility Phone Number: 850 256-5314

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1699192567

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0271327
LAB Type	Physician Office
Facility Name	JAY HOSPITAL INC DBA CENTURY MEDICAL CENTER
Street	8401 N CENTURY BLVD
City	CENTURY
State	FL
ZIP	32535
Phone	850 256-5314
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024