10D1085984 CLIA NUMBER - NORTH GENERAL CENTER OF MEDICINE

Laboratory Demographics

CLIA Number: 10D1085984

Facility Name: NORTH GENERAL CENTER OF MEDICINE

Facility Address:
1315 N FEDERAL HWY
BOYNTON BEACH, FL
ZIP 33435
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Facility Phone Number: 561 733-2929

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1508034083

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1085984
LAB Type	Physician Office
Facility Name	NORTH GENERAL CENTER OF MEDICINE
Street	1315 N FEDERAL HWY
City	BOYNTON BEACH
State	FL
ZIP	33435
Phone	561 733-2929
CertificateType	4
CertificateEffectiveDate	7/1/2023
CertificateExpirationDate	6/30/2025
FacilityType	Waiver

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