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10D2098860 CLIA NUMBER - ELITE MEDICINE AND AESTHETIC INSTITUTE

Laboratory Demographics

CLIA Number: 10D2098860

Facility Name: ELITE MEDICINE AND AESTHETIC INSTITUTE

Facility Address:
1905 CLINT MOORE RD STE 203
BOCA RATON, FL
ZIP 33496
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Facility Phone Number: 561 826-6650

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1154735819

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 10D2098860
LAB Type Physician Office
Facility Name ELITE MEDICINE AND AESTHETIC INSTITUTE
Street 1905 CLINT MOORE RD STE 203
City BOCA RATON
State FL
ZIP 33496
Phone 561 826-6650
CertificateType 4
CertificateEffectiveDate 7/16/2023
CertificateExpirationDate 7/15/2025
FacilityType Waiver

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