10D1074205 CLIA NUMBER - BOYNTON BEACH HEART CENTER PA

Laboratory Demographics

CLIA Number: 10D1074205

Facility Name: BOYNTON BEACH HEART CENTER PA

Facility Address:
3925 W BOYNTON BEACH BLVD STE 102
BOYNTON BEACH, FL
ZIP 33436
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Facility Phone Number: 561 735-3334

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1952471104

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	10D1074205
LAB Type	Mobile Laboratory
Facility Name	BOYNTON BEACH HEART CENTER PA
Street	3925 W BOYNTON BEACH BLVD STE 102
City	BOYNTON BEACH
State	FL
ZIP	33436
Phone	561 735-3334
CertificateType	4
CertificateEffectiveDate	9/25/2023
CertificateExpirationDate	9/24/2025
FacilityType	Waiver

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