10D2021039 CLIA NUMBER - GENESISCARE USA OF FLORIDA LLC

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Laboratory Demographics

CLIA Number: 10D2021039

Facility Name: GENESISCARE USA OF FLORIDA LLC

Facility Address:
3347 SR 7 STE 101
WELLINGTON, FL
ZIP 33449
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Facility Phone Number: 561 790-2111

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1306215868

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	10D2021039
LAB Type	Physician Office
Facility Name	GENESISCARE USA OF FLORIDA LLC
Street	3347 SR 7 STE 101
City	WELLINGTON
State	FL
ZIP	33449
Phone	561 790-2111
CertificateType	4
CertificateEffectiveDate	9/24/2022
CertificateExpirationDate	9/23/2024
FacilityType	Waiver

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