10D2060067 CLIA NUMBER - SOUTH PALM BEACH HEALTH GROUP PLLC

Laboratory Demographics

CLIA Number: 10D2060067

Facility Name: SOUTH PALM BEACH HEALTH GROUP PLLC

Facility Address:
880 NW 13TH ST STE 2B
BOCA RATON, FL
ZIP 33486
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Facility Phone Number: 561 361-3903

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1548272974

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name Field Value
CLIA Number 10D2060067
LAB Type Physician Office
Facility Name SOUTH PALM BEACH HEALTH GROUP PLLC
Street 880 NW 13TH ST STE 2B
City BOCA RATON
State FL
ZIP 33486
Phone 561 361-3903
CertificateType 4
CertificateEffectiveDate 6/6/2023
CertificateExpirationDate 6/5/2025
FacilityType Waiver

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