10D2111931 CLIA NUMBER - MEDAPRIME INC

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Laboratory Demographics

CLIA Number: 10D2111931

Facility Name: MEDAPRIME INC

Facility Address:
10199 CLEARY BLVD STE 8
PLANTATION, FL
ZIP 33324
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Facility Phone Number: 954 644-1430

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1427415264

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	10D2111931
LAB Type	Physician Office
Facility Name	MEDAPRIME INC
Street	10199 CLEARY BLVD STE 8
City	PLANTATION
State	FL
ZIP	33324
Phone	954 644-1430
CertificateType	4
CertificateEffectiveDate	4/19/2024
CertificateExpirationDate	4/18/2026
FacilityType	Waiver

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