10D2082926 CLIA NUMBER - INSTANT MEDICAL CARE CENTER

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Laboratory Demographics

CLIA Number: 10D2082926

Facility Name: INSTANT MEDICAL CARE CENTER

Facility Address:
1328 SE 17TH ST
FORT LAUDERDALE, FL
ZIP 33316
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Facility Phone Number: 954 200-6001

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1376852566

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	10D2082926
LAB Type	Other - URGENT CARE
Facility Name	INSTANT MEDICAL CARE CENTER
Street	1328 SE 17TH ST
City	FORT LAUDERDALE
State	FL
ZIP	33316
Phone	954 200-6001
CertificateType	4
CertificateEffectiveDate	10/15/2023
CertificateExpirationDate	10/14/2025
FacilityType	Waiver

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