10D2044002 CLIA NUMBER - CANO HEALTH, LLC DBA DOCTORS MEDICAL CENTER

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Laboratory Demographics

CLIA Number: 10D2044002

Facility Name: CANO HEALTH, LLC DBA DOCTORS MEDICAL CENTER

Facility Address:
1217 S MILITARY TRAIL - STE C
WEST PALM BEACH, FL
ZIP 33415
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Facility Phone Number: 354 514-9360

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1427286772

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2044002
LAB Type	Physician Office
Facility Name	CANO HEALTH, LLC DBA DOCTORS MEDICAL CENTER
Street	1217 S MILITARY TRAIL - STE C
City	WEST PALM BEACH
State	FL
ZIP	33415
Phone	354 514-9360
CertificateType	4
CertificateEffectiveDate	7/16/2022
CertificateExpirationDate	7/15/2024
FacilityType	Waiver

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