10D2018738 CLIA NUMBER - AMERICAN CARE OF SOUTH FLORIDA INC

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Laboratory Demographics

CLIA Number: 10D2018738

Facility Name: AMERICAN CARE OF SOUTH FLORIDA INC

Facility Address:
1404 S 28 ST
FORT PIERCE, FL
ZIP 34947
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Facility Phone Number: 772 293-0770

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1962603027

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D2018738
LAB Type	Physician Office
Facility Name	AMERICAN CARE OF SOUTH FLORIDA INC
Street	1404 S 28 ST
City	FORT PIERCE
State	FL
ZIP	34947
Phone	772 293-0770
CertificateType	4
CertificateEffectiveDate	1/13/2023
CertificateExpirationDate	1/12/2025
FacilityType	Waiver

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