10D1104540 CLIA NUMBER - BOCA DELRAY WOMEN CARE LLC

Laboratory Demographics

CLIA Number: 10D1104540

Facility Name: BOCA DELRAY WOMEN CARE LLC

Facility Address:
1050 NW 15TH ST SUITE 110A
BOCA RATON, FL
ZIP 33486
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Facility Phone Number: 561 734-4545

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1740857655

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	10D1104540
LAB Type	Physician Office
Facility Name	BOCA DELRAY WOMEN CARE LLC
Street	1050 NW 15TH ST SUITE 110A
City	BOCA RATON
State	FL
ZIP	33486
Phone	561 734-4545
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