10D2051202 CLIA NUMBER - CLEVELAND CLINIC FLORIDA

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Laboratory Demographics

CLIA Number: 10D2051202

Facility Name: CLEVELAND CLINIC FLORIDA

Facility Address:
4520 DONALD ROSS RD STE 200
PALM BEACH GARDENS, FL
ZIP 33418
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Facility Phone Number: 954 689-5175

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1841632106

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2051202
LAB Type	Physician Office
Facility Name	CLEVELAND CLINIC FLORIDA
Street	4520 DONALD ROSS RD STE 200
City	PALM BEACH GARDENS
State	FL
ZIP	33418
Phone	954 689-5175
CertificateType	4
CertificateEffectiveDate	12/14/2022
CertificateExpirationDate	12/13/2024
FacilityType	Waiver

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