10D2006923 CLIA NUMBER - BOCACARE INC DBA BAPTIST HEALTH CARDIOLOGY BOYNTON BEACH

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Laboratory Demographics

CLIA Number: 10D2006923

Facility Name: BOCACARE INC DBA BAPTIST HEALTH CARDIOLOGY BOYNTON BEACH

Facility Address:
10301 HAGEN RANCH RD STE B5
BOYNTON BEACH, FL
ZIP 33437
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Facility Phone Number: 561 244-7720

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1205840071

Taxonomy: 261QR0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2006923
LAB Type	Physician Office
Facility Name	BOCACARE INC DBA BAPTIST HEALTH CARDIOLOGY BOYNTON BEACH
Street	10301 HAGEN RANCH RD STE B5
City	BOYNTON BEACH
State	FL
ZIP	33437
Phone	561 244-7720
CertificateType	4
CertificateEffectiveDate	5/4/2024
CertificateExpirationDate	5/3/2026
FacilityType	Waiver

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