10D0912314 CLIA NUMBER - DANIEL S MACCURDY MD PA

Laboratory Demographics

CLIA Number: 10D0912314

Facility Name: DANIEL S MACCURDY MD PA

Facility Address:
210 JUPITER LAKES BLVD STE 4102
JUPITER, FL
ZIP 33458
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Facility Phone Number: 561 743-3065

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1235163148

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D0912314
LAB Type	Physician Office
Facility Name	DANIEL S MACCURDY MD PA
Street	210 JUPITER LAKES BLVD STE 4102
City	JUPITER
State	FL
ZIP	33458
Phone	561 743-3065
CertificateType	4
CertificateEffectiveDate	6/11/2022
CertificateExpirationDate	6/10/2024
FacilityType	Waiver

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