10D2038288 CLIA NUMBER - BEACHCOMBER OUTPATIENT SERVICES

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Laboratory Demographics

CLIA Number: 10D2038288

Facility Name: BEACHCOMBER OUTPATIENT SERVICES

Facility Address:
115 W WOOLBRIGHT RD
BOYNTON BEACH, FL
ZIP 33435
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Facility Phone Number: 561 734-1818

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1508283326

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2038288
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	BEACHCOMBER OUTPATIENT SERVICES
Street	115 W WOOLBRIGHT RD
City	BOYNTON BEACH
State	FL
ZIP	33435
Phone	561 734-1818
CertificateType	4
CertificateEffectiveDate	3/19/2024
CertificateExpirationDate	3/18/2026
FacilityType	Waiver

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