10D1095555 CLIA NUMBER - DEERFIELD BEACH VA CBOC

Laboratory Demographics

  • CLIA Code: 10D1095555
  • Facility Name: DEERFIELD BEACH VA CBOC
  • Facility Address: 2100 SW 10 ST
    DEERFIELD BEACH, FL
    ZIP 33442
  • Facility Phone: 954 570-5570
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Accreditation
  • Lab Director: RAFAEL VALENZUELA
  • NPI Number: 1912652462
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 10D1095555
LAB Type Ambulatory Surgery Center
Facility Name DEERFIELD BEACH VA CBOC
Street 2100 SW 10 ST
City DEERFIELD BEACH
State FL
ZIP 33442
Phone 954 570-5570
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/11/2009
Certificate Expiration Date 5/22/2026
Facility Type Ambulatory Surgery Center
Lab Director RAFAEL VALENZUELA

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This page was last updated on: 9/29/2025