10D1060138 CLIA NUMBER - MEDEXPRESS URGENT CARE PALM BEACH GARDENS

Laboratory Demographics

CLIA Number: 10D1060138

Facility Name: MEDEXPRESS URGENT CARE PALM BEACH GARDENS

Facility Address:
4520 DONALD ROSS RD STE 100
PALM BEACH GARDENS, FL
ZIP 33418
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Facility Phone Number: 561 776-3090

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1750440475

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1060138
LAB Type	Physician Office
Facility Name	MEDEXPRESS URGENT CARE PALM BEACH GARDENS
Street	4520 DONALD ROSS RD STE 100
City	PALM BEACH GARDENS
State	FL
ZIP	33418
Phone	561 776-3090
CertificateType	4
CertificateEffectiveDate	10/17/2022
CertificateExpirationDate	10/16/2024
FacilityType	Waiver

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