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10D2009288 CLIA NUMBER - AC MEDICAL CARE ANDRE CELESTIN MD

Laboratory Demographics

CLIA Number: 10D2009288

Facility Name: AC MEDICAL CARE ANDRE CELESTIN MD

Facility Address:
4698 B FOREST HILL BLVD
WEST PALM BEACH, FL
ZIP 33415
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Facility Phone Number: 561 969-3435

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1427241025

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name Field Value
CLIA Number 10D2009288
LAB Type Physician Office
Facility Name AC MEDICAL CARE ANDRE CELESTIN MD
Street 4698 B FOREST HILL BLVD
City WEST PALM BEACH
State FL
ZIP 33415
Phone 561 969-3435
CertificateType 4
CertificateEffectiveDate 6/30/2022
CertificateExpirationDate 6/29/2024
FacilityType Waiver

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