10D0883923 CLIA NUMBER - DELRAY PHYSICIAN CARE CENTER

Laboratory Demographics

CLIA Number: 10D0883923

Facility Name: DELRAY PHYSICIAN CARE CENTER

Facility Address:
2280 W ATLANTIC AVE
DELRAY BEACH, FL
ZIP 33445
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Facility Phone Number: 561 278-3134

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1003247123

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	10D0883923
LAB Type	Physician Office
Facility Name	DELRAY PHYSICIAN CARE CENTER
Street	2280 W ATLANTIC AVE
City	DELRAY BEACH
State	FL
ZIP	33445
Phone	561 278-3134
CertificateType	4
CertificateEffectiveDate	5/29/2022
CertificateExpirationDate	5/28/2024
FacilityType	Waiver

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