10D2009690 CLIA NUMBER - GENESIS COMMUNITY HEALTH INC

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Laboratory Demographics

CLIA Number: 10D2009690

Facility Name: GENESIS COMMUNITY HEALTH INC

Facility Address:
709 SOUTH FEDERAL HIGHWAY SUITE 3
BOYNTON BEACH, FL
ZIP 33435
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Facility Phone Number: 561 735-6553

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1073982831

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2009690
LAB Type	Community Clinic
Facility Name	GENESIS COMMUNITY HEALTH INC
Street	709 SOUTH FEDERAL HIGHWAY SUITE 3
City	BOYNTON BEACH
State	FL
ZIP	33435
Phone	561 735-6553
CertificateType	4
CertificateEffectiveDate	7/9/2022
CertificateExpirationDate	7/8/2024
FacilityType	Waiver

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