10D2103622 CLIA NUMBER - GENESIS COMMUNITY HEALTH INC AT BOCA

Laboratory Demographics

CLIA Number: 10D2103622

Facility Name: GENESIS COMMUNITY HEALTH INC AT BOCA

Facility Address:
600 SOUTH DIXIE HIGHWAY SUITE 103
BOCA RATON, FL
ZIP 33432
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Facility Phone Number: (561) 430-3629

Facility Type: FEDERALLY QUALIFIED HEALTH CENTER

Certificate Type: Waiver

NPI Number: 1073982831

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2103622
LAB Type	FEDERALLY QUALIFIED HEALTH CENTER
Facility Name	GENESIS COMMUNITY HEALTH INC AT BOCA
Street	600 SOUTH DIXIE HIGHWAY SUITE 103
City	BOCA RATON
State	FL
ZIP	33432
Phone	(561) 430-3629

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This page was last updated on: 5/11/2023