10D0877665 CLIA NUMBER - ALAN MELOTEK MD

Laboratory Demographics

CLIA Number: 10D0877665

Facility Name: ALAN MELOTEK MD

Facility Address:
951 NW 13TH ST SUITE 1B
BOCA RATON, FL
ZIP 33486
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Facility Phone Number: 561 750-7509

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1407874811

Taxonomy: 207QA0505X - Family Medicine
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

CLIA Record

Field Name	Field Value
CLIA Number	10D0877665
LAB Type	Physician Office
Facility Name	ALAN MELOTEK MD
Street	951 NW 13TH ST SUITE 1B
City	BOCA RATON
State	FL
ZIP	33486
Phone	561 750-7509
CertificateType	4
CertificateEffectiveDate	3/27/2023
CertificateExpirationDate	3/26/2025
FacilityType	Waiver

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