10D2107599 CLIA NUMBER - SPECIALTY RETINA CENTER

Laboratory Demographics

CLIA Number: 10D2107599

Facility Name: SPECIALTY RETINA CENTER

Facility Address:
6280 W SAMPLE RD STE 202 & 203
CORAL SPRINGS, FL
ZIP 33067
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Facility Phone Number: (561) 322-3588

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1326548942

Taxonomy: 261QS0132X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2107599
LAB Type	PHYSICIAN OFFICE
Facility Name	SPECIALTY RETINA CENTER
Street	6280 W SAMPLE RD STE 202 & 203
City	CORAL SPRINGS
State	FL
ZIP	33067
Phone	(561) 322-3588

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