10D2037702 CLIA NUMBER - SOUTH FLORIDA WELLNESS AND CLINICAL RESEARCH INSTITUTE LLC

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Laboratory Demographics

CLIA Number: 10D2037702

Facility Name: SOUTH FLORIDA WELLNESS AND CLINICAL RESEARCH INSTITUTE LLC

Facility Address:
2964 N STATE RD 7 STE 200
MARGATE, FL
ZIP 33063
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Facility Phone Number: 954 582-7007

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1811030547

Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities
An intermediate care facility providing services for individuals with intellectual disabilities.

CLIA Record

Field Name	Field Value
CLIA Number	10D2037702
LAB Type	Physician Office
Facility Name	SOUTH FLORIDA WELLNESS AND CLINICAL RESEARCH INSTITUTE LLC
Street	2964 N STATE RD 7 STE 200
City	MARGATE
State	FL
ZIP	33063
Phone	954 582-7007
CertificateType	4
CertificateEffectiveDate	3/5/2024
CertificateExpirationDate	3/4/2026
FacilityType	Waiver

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