10D1046240 CLIA NUMBER - MAE VOLEN SENIOR CENTER INC

Laboratory Demographics

CLIA Number: 10D1046240

Facility Name: MAE VOLEN SENIOR CENTER INC

Facility Address:
1515 W PALMETTO PARK RD
BOCA RATON, FL
ZIP 33486
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Facility Phone Number: 561 395-8920

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1437402831

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1046240
LAB Type	Other
Facility Name	MAE VOLEN SENIOR CENTER INC
Street	1515 W PALMETTO PARK RD
City	BOCA RATON
State	FL
ZIP	33486
Phone	561 395-8920
CertificateType	4
CertificateEffectiveDate	10/4/2023
CertificateExpirationDate	10/3/2025
FacilityType	Waiver

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