10D0287446 CLIA NUMBER - MARK S BLOCK DPM

Laboratory Demographics

CLIA Number: 10D0287446

Facility Name: MARK S BLOCK DPM

Facility Address:
660 GLADES RD STE 120
BOCA RATON, FL
ZIP 33431
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Facility Phone Number: 561 368-3232

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1225034176

Taxonomy: 213ES0103X - Podiatrist

CLIA Record

Field Name	Field Value
CLIA Number	10D0287446
LAB Type	Physician Office
Facility Name	MARK S BLOCK DPM
Street	660 GLADES RD STE 120
City	BOCA RATON
State	FL
ZIP	33431
Phone	561 368-3232
CertificateType	2
CertificateEffectiveDate	4/13/2023
CertificateExpirationDate	4/12/2025
FacilityType	Compliance

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