10D2016186 CLIA NUMBER - COMPREHENSIVE HEALTH AND WELLNESS CENTER PA

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Laboratory Demographics

CLIA Number: 10D2016186

Facility Name: COMPREHENSIVE HEALTH AND WELLNESS CENTER PA

Facility Address:
4040 SHERIDAN ST
HOLLYWOOD, FL
ZIP 33021
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Facility Phone Number: 954 322-7166

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1184931339

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2016186
LAB Type	Physician Office
Facility Name	COMPREHENSIVE HEALTH AND WELLNESS CENTER PA
Street	4040 SHERIDAN ST
City	HOLLYWOOD
State	FL
ZIP	33021
Phone	954 322-7166
CertificateType	4
CertificateEffectiveDate	11/15/2022
CertificateExpirationDate	11/14/2024
FacilityType	Waiver

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