10D1104531 CLIA NUMBER - RICHARD CONLEN, MD

Laboratory Demographics

CLIA Number: 10D1104531

Facility Name: RICHARD CONLEN, MD

Facility Address:
1501 YAMATO ROAD SUITE 200
BOCA RATON, FL
ZIP 33431
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Facility Phone Number: 561 300-2410

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1376724096

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	10D1104531
LAB Type	Physician Office
Facility Name	RICHARD CONLEN, MD
Street	1501 YAMATO ROAD SUITE 200
City	BOCA RATON
State	FL
ZIP	33431
Phone	561 300-2410
CertificateType	4
CertificateEffectiveDate	9/4/2023
CertificateExpirationDate	9/3/2025
FacilityType	Waiver

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