10D0701627 CLIA NUMBER - BOCA GENERAL AND FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 10D0701627

Facility Name: BOCA GENERAL AND FAMILY MEDICINE

Facility Address:
1500 NW 10TH AVE STE 101
BOCA RATON, FL
ZIP 33486
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Facility Phone Number: (561) 391-2708

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1174145650

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0701627
LAB Type	PHYSICIAN OFFICE
Facility Name	BOCA GENERAL AND FAMILY MEDICINE
Street	1500 NW 10TH AVE STE 101
City	BOCA RATON
State	FL
ZIP	33486
Phone	(561) 391-2708

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This page was last updated on: 5/11/2023