10D2003644 CLIA NUMBER - HEALTH AND WELLNESS CARE CENTER PLANTATION

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Laboratory Demographics

CLIA Number: 10D2003644

Facility Name: HEALTH AND WELLNESS CARE CENTER PLANTATION

Facility Address:
401 NW 70TH TERRACE
PLANTATION, FL
ZIP 33317
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Facility Phone Number: 954 513-3530

Facility Type: Other - EMPLOYEE HEALTH CLINIC

Certificate Type: Waiver

NPI Number: 1609954718

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	10D2003644
LAB Type	Other - EMPLOYEE HEALTH CLINIC
Facility Name	HEALTH AND WELLNESS CARE CENTER PLANTATION
Street	401 NW 70TH TERRACE
City	PLANTATION
State	FL
ZIP	33317
Phone	954 513-3530
CertificateType	4
CertificateEffectiveDate	2/16/2024
CertificateExpirationDate	2/15/2026
FacilityType	Waiver

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