10D1081166 CLIA NUMBER - BOCA RATON FAMILY AND PEDIATRIC CLINIC

Laboratory Demographics

CLIA Number: 10D1081166

Facility Name: BOCA RATON FAMILY AND PEDIATRIC CLINIC

Facility Address:
19801 HAMPTON DR C1-2
BOCA RATON, FL
ZIP 33434
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Facility Phone Number: 561 477-2862

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1740460682

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	10D1081166
LAB Type	Physician Office
Facility Name	BOCA RATON FAMILY AND PEDIATRIC CLINIC
Street	19801 HAMPTON DR C1-2
City	BOCA RATON
State	FL
ZIP	33434
Phone	561 477-2862
CertificateType	4
CertificateEffectiveDate	2/7/2023
CertificateExpirationDate	2/6/2025
FacilityType	Waiver

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