10D2070150 CLIA NUMBER - COMPLETE CARE MEDICAL CENTER INC

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Laboratory Demographics

CLIA Number: 10D2070150

Facility Name: COMPLETE CARE MEDICAL CENTER INC

Facility Address:
189 N STATE RD 7
PLANTATION, FL
ZIP 33317
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Facility Phone Number: 954 316-2442

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1255760252

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	10D2070150
LAB Type	Physician Office
Facility Name	COMPLETE CARE MEDICAL CENTER INC
Street	189 N STATE RD 7
City	PLANTATION
State	FL
ZIP	33317
Phone	954 316-2442
CertificateType	4
CertificateEffectiveDate	12/10/2023
CertificateExpirationDate	12/9/2025
FacilityType	Waiver

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