10D1038483 CLIA NUMBER - PALM MEDICAL CENTERS

Laboratory Demographics

CLIA Number: 10D1038483

Facility Name: PALM MEDICAL CENTERS

Facility Address:
950 FIRST ST S
WINTER HAVEN, FL
ZIP 33880
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Facility Phone Number: 863 295-5604

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1427621390

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name Field Value
CLIA Number 10D1038483
LAB Type Physician Office
Facility Name PALM MEDICAL CENTERS
Street 950 FIRST ST S
City WINTER HAVEN
State FL
ZIP 33880
Phone 863 295-5604
CertificateType 4
CertificateEffectiveDate 3/21/2023
CertificateExpirationDate 3/20/2025
FacilityType Waiver

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