10D0968323 CLIA NUMBER - ADVANCED CARE EMERGI CENTER & OCCUPATIONAL HEALTH CLINIC INC

Laboratory Demographics

CLIA Number: 10D0968323

Facility Name: ADVANCED CARE EMERGI CENTER & OCCUPATIONAL HEALTH CLINIC INC

Facility Address:
2339 S US HWY 1
FORT PIERCE, FL
ZIP 34982
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Facility Phone Number: 772 461-1008

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1235346875

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0968323
LAB Type	Physician Office
Facility Name	ADVANCED CARE EMERGI CENTER & OCCUPATIONAL HEALTH CLINIC INC
Street	2339 S US HWY 1
City	FORT PIERCE
State	FL
ZIP	34982
Phone	772 461-1008
CertificateType	2
CertificateEffectiveDate	1/20/2024
CertificateExpirationDate	1/19/2026
FacilityType	Compliance

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