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10D1007909 CLIA NUMBER - MEMORIAL REGIONAL HOSPITAL FITNESS AND REHABILITATION CENTER

Laboratory Demographics

CLIA Number: 10D1007909

Facility Name: MEMORIAL REGIONAL HOSPITAL FITNESS AND REHABILITATION CENTER

Facility Address:
300 HOLLYWOOD WAY
HOLLYWOOD, FL
ZIP 33021
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Facility Phone Number: 954 265-5157

Facility Type: Other - CARDIAC & PULMONARY REHAB

Certificate Type: Waiver
NPI Number: 1053657650

Taxonomy: 363A00000X - Physician Assistant
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

CLIA Record

Field Name Field Value
CLIA Number 10D1007909
LAB Type Other - CARDIAC & PULMONARY REHAB
Facility Name MEMORIAL REGIONAL HOSPITAL FITNESS AND REHABILITATION CENTER
Street 300 HOLLYWOOD WAY
City HOLLYWOOD
State FL
ZIP 33021
Phone 954 265-5157
CertificateType 4
CertificateEffectiveDate 6/2/2022
CertificateExpirationDate 6/1/2024
FacilityType Waiver

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