10D1105231 CLIA NUMBER - MEDICAL CENTER OF THE PALM BEACHES

Laboratory Demographics

CLIA Number: 10D1105231

Facility Name: MEDICAL CENTER OF THE PALM BEACHES

Facility Address:
4623 FOREST HILL BLVD STE 103
WEST PALM BEACH, FL
ZIP 33415
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Facility Phone Number: 561 969-7900

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1902159544

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	10D1105231
LAB Type	Physician Office
Facility Name	MEDICAL CENTER OF THE PALM BEACHES
Street	4623 FOREST HILL BLVD STE 103
City	WEST PALM BEACH
State	FL
ZIP	33415
Phone	561 969-7900
CertificateType	4
CertificateEffectiveDate	9/21/2023
CertificateExpirationDate	9/20/2025
FacilityType	Waiver

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