10D2102528 CLIA NUMBER - ATLANTIS ORTHOPAEDICS

Laboratory Demographics

CLIA Number: 10D2102528

Facility Name: ATLANTIS ORTHOPAEDICS

Facility Address:
4560 LANTANA ROAD SUITE 100
LAKE WORTH, FL
ZIP 33463
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Facility Phone Number: 561 967-4400

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1902862808

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D2102528
LAB Type	Physician Office
Facility Name	ATLANTIS ORTHOPAEDICS
Street	4560 LANTANA ROAD SUITE 100
City	LAKE WORTH
State	FL
ZIP	33463
Phone	561 967-4400
CertificateType	4
CertificateEffectiveDate	9/24/2023
CertificateExpirationDate	9/23/2025
FacilityType	Waiver

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