10D0287461 CLIA NUMBER - CONCENTRA - BOCA RATON

Laboratory Demographics

CLIA Number: 10D0287461

Facility Name: CONCENTRA - BOCA RATON

Facility Address:
141 NW 20TH ST UNITS C6 - C12
BOCA RATON, FL
ZIP 33431
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Facility Phone Number: 561 368-6920

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1538665930

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0287461
LAB Type	Physician Office
Facility Name	CONCENTRA - BOCA RATON
Street	141 NW 20TH ST UNITS C6 - C12
City	BOCA RATON
State	FL
ZIP	33431
Phone	561 368-6920
CertificateType	4
CertificateEffectiveDate	1/15/2023
CertificateExpirationDate	1/14/2025
FacilityType	Waiver

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