10D0947025 CLIA NUMBER - WAYNE P DIGIACOMO MD

Laboratory Demographics

CLIA Number: 10D0947025

Facility Name: WAYNE P DIGIACOMO MD

Facility Address:
3001 W HALLANDALE BEACH BLVD STE 200
HALLANDALE, FL
ZIP 33009
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Facility Phone Number: 954 456-4888

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1346205812

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name Field Value
CLIA Number 10D0947025
LAB Type Physician Office
Facility Name WAYNE P DIGIACOMO MD
Street 3001 W HALLANDALE BEACH BLVD STE 200
City HALLANDALE
State FL
ZIP 33009
Phone 954 456-4888
CertificateType 4
CertificateEffectiveDate 6/9/2022
CertificateExpirationDate 6/8/2024
FacilityType Waiver

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