10D1098793 CLIA NUMBER - MAXICARE SELECT INC

Laboratory Demographics

CLIA Number: 10D1098793

Facility Name: MAXICARE SELECT INC

Facility Address:
1500 GATEWAY BLVD #220
BOYNTON BEACH, FL
ZIP 33426
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Facility Phone Number: 561 894-8147

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1730260514

Taxonomy: 183500000X - Pharmacist
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

CLIA Record

Field Name	Field Value
CLIA Number	10D1098793
LAB Type	Home Health Agency
Facility Name	MAXICARE SELECT INC
Street	1500 GATEWAY BLVD #220
City	BOYNTON BEACH
State	FL
ZIP	33426
Phone	561 894-8147
CertificateType	4
CertificateEffectiveDate	4/28/2023
CertificateExpirationDate	4/27/2025
FacilityType	Waiver

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