10D2025679 CLIA NUMBER - COMPREHENSIVE CANCER INSTITUTE AT JFK MEDICAL CENTER

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Laboratory Demographics

CLIA Number: 10D2025679

Facility Name: COMPREHENSIVE CANCER INSTITUTE AT JFK MEDICAL CENTER

Facility Address:
4685 S CONGRESS AVE 1ST FL
LAKE WORTH, FL
ZIP 33461
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Facility Phone Number: 561 548-3455

Facility Type: Other - COMPREHENSIVE CANCER CENT

Certificate Type: Waiver

NPI Number: 1972718369

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	10D2025679
LAB Type	Other - COMPREHENSIVE CANCER CENT
Facility Name	COMPREHENSIVE CANCER INSTITUTE AT JFK MEDICAL CENTER
Street	4685 S CONGRESS AVE 1ST FL
City	LAKE WORTH
State	FL
ZIP	33461
Phone	561 548-3455
CertificateType	4
CertificateEffectiveDate	6/15/2023
CertificateExpirationDate	6/14/2025
FacilityType	Waiver

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