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10D1045760 CLIA NUMBER - ATTICA CHANG MD PA DBA BOCA RATON SKIN & LASER CENTER

Laboratory Demographics

CLIA Number: 10D1045760

Facility Name: ATTICA CHANG MD PA DBA BOCA RATON SKIN & LASER CENTER

Facility Address:
1356 NW BOCA RATON BLVD
BOCA RATON, FL
ZIP 33432
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Facility Phone Number: 561 395-9500

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1225099781

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 10D1045760
LAB Type Physician Office
Facility Name ATTICA CHANG MD PA DBA BOCA RATON SKIN & LASER CENTER
Street 1356 NW BOCA RATON BLVD
City BOCA RATON
State FL
ZIP 33432
Phone 561 395-9500
CertificateType 2
CertificateEffectiveDate 12/13/2023
CertificateExpirationDate 12/12/2025
FacilityType Compliance

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