10D2056723 CLIA NUMBER - HOLY CROSS URGENT CARE LLC

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Laboratory Demographics

CLIA Number: 10D2056723

Facility Name: HOLY CROSS URGENT CARE LLC

Facility Address:
1115 S FEDERAL HWY
FORT LAUDERDALE, FL
ZIP 33316
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Facility Phone Number: 954 764-6646

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1386985190

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2056723
LAB Type	Other - URGENT CARE
Facility Name	HOLY CROSS URGENT CARE LLC
Street	1115 S FEDERAL HWY
City	FORT LAUDERDALE
State	FL
ZIP	33316
Phone	954 764-6646
CertificateType	4
CertificateEffectiveDate	4/3/2023
CertificateExpirationDate	4/2/2025
FacilityType	Waiver

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