10D2051268 CLIA NUMBER - SLEEP AND FATIGUE TREATMENT CENTER

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Laboratory Demographics

CLIA Number: 10D2051268

Facility Name: SLEEP AND FATIGUE TREATMENT CENTER

Facility Address:
2499 GLADES ROAD STE 110
BOCA RATON, FL
ZIP 33431
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Facility Phone Number: 561 450-8328

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1780813626

Taxonomy: 261QS1200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2051268
LAB Type	Physician Office
Facility Name	SLEEP AND FATIGUE TREATMENT CENTER
Street	2499 GLADES ROAD STE 110
City	BOCA RATON
State	FL
ZIP	33431
Phone	561 450-8328
CertificateType	4
CertificateEffectiveDate	12/17/2022
CertificateExpirationDate	12/16/2024
FacilityType	Waiver

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