10D0927895 CLIA NUMBER - SKIN CANCER TREATMENT CENTER

Laboratory Demographics

CLIA Number: 10D0927895

Facility Name: SKIN CANCER TREATMENT CENTER

Facility Address:
10001 PINES BLVD
PEMBROKE PINES, FL
ZIP 33024
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Facility Phone Number: 954 436-5625

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1861509234

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	10D0927895
LAB Type	Physician Office
Facility Name	SKIN CANCER TREATMENT CENTER
Street	10001 PINES BLVD
City	PEMBROKE PINES
State	FL
ZIP	33024
Phone	954 436-5625
CertificateType	2
CertificateEffectiveDate	6/3/2023
CertificateExpirationDate	6/2/2025
FacilityType	Compliance

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