10D1029691 CLIA NUMBER - ORTHOPAEDIC SURGERY ASSOCIATES

Laboratory Demographics

CLIA Number: 10D1029691

Facility Name: ORTHOPAEDIC SURGERY ASSOCIATES

Facility Address:
2828 SOUTH SEACREST BLVD STE 204/208
BOYNTON BEACH, FL
ZIP 33435
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Facility Phone Number: 561 742-3579

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1306923149

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	10D1029691
LAB Type	Physician Office
Facility Name	ORTHOPAEDIC SURGERY ASSOCIATES
Street	2828 SOUTH SEACREST BLVD STE 204/208
City	BOYNTON BEACH
State	FL
ZIP	33435
Phone	561 742-3579
CertificateType	4
CertificateEffectiveDate	8/23/2022
CertificateExpirationDate	8/22/2024
FacilityType	Waiver

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