10D0947544 CLIA NUMBER - BERENS MEDICAL CENTER

Laboratory Demographics

CLIA Number: 10D0947544

Facility Name: BERENS MEDICAL CENTER

Facility Address:
969 NORTH NOB HILL ROAD
PLANTATION, FL
ZIP 33324
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Facility Phone Number: 954 916-1100

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1801160015

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	10D0947544
LAB Type	Physician Office
Facility Name	BERENS MEDICAL CENTER
Street	969 NORTH NOB HILL ROAD
City	PLANTATION
State	FL
ZIP	33324
Phone	954 916-1100
CertificateType	4
CertificateEffectiveDate	6/18/2022
CertificateExpirationDate	6/17/2024
FacilityType	Waiver

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