10D2074914 CLIA NUMBER - TOTAL MD

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Laboratory Demographics

CLIA Number: 10D2074914

Facility Name: TOTAL MD

Facility Address:
2700 W CYPRESS CREEK RD 7 STE C100
FORT LAUDERDALE, FL
ZIP 33309
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Facility Phone Number: 954 974-3111

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1770906406

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	10D2074914
LAB Type	Physician Office
Facility Name	TOTAL MD
Street	2700 W CYPRESS CREEK RD 7 STE C100
City	FORT LAUDERDALE
State	FL
ZIP	33309
Phone	954 974-3111
CertificateType	4
CertificateEffectiveDate	3/18/2024
CertificateExpirationDate	3/17/2026
FacilityType	Waiver

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