10D0705930 CLIA NUMBER - RICHARD S GLICK MD

Laboratory Demographics

CLIA Number: 10D0705930

Facility Name: RICHARD S GLICK MD

Facility Address:
6405 N FEDERAL HWY SUITE 105
FORT LAUDERDALE, FL
ZIP 33308
Get Directions

Facility Phone Number: 954 772-3660

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1538263884

Taxonomy: 207RR0500X - Internal Medicine
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

CLIA Record

Field Name	Field Value
CLIA Number	10D0705930
LAB Type	Physician Office
Facility Name	RICHARD S GLICK MD
Street	6405 N FEDERAL HWY SUITE 105
City	FORT LAUDERDALE
State	FL
ZIP	33308
Phone	954 772-3660
CertificateType	4
CertificateEffectiveDate	7/12/2023
CertificateExpirationDate	7/11/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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