10D2041572 CLIA NUMBER - SOUTH FL INSTITUTE FOR REPRODUCTIVE MEDICINE LLC

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Laboratory Demographics

CLIA Number: 10D2041572

Facility Name: SOUTH FL INSTITUTE FOR REPRODUCTIVE MEDICINE LLC

Facility Address:
9960 S CENTRAL PARK BLVD STE 275
BOCA RATON, FL
ZIP 33428
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Facility Phone Number: 305 662-7901

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1437319654

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	10D2041572
LAB Type	Physician Office
Facility Name	SOUTH FL INSTITUTE FOR REPRODUCTIVE MEDICINE LLC
Street	9960 S CENTRAL PARK BLVD STE 275
City	BOCA RATON
State	FL
ZIP	33428
Phone	305 662-7901
CertificateType	4
CertificateEffectiveDate	4/9/2024
CertificateExpirationDate	4/8/2026
FacilityType	Waiver

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