10D2116139 CLIA NUMBER - SPINE AND WELLNESS CENTERS OF AMERICA

Laboratory Demographics

CLIA Number: 10D2116139

Facility Name: SPINE AND WELLNESS CENTERS OF AMERICA

Facility Address:
1250 E HALLANDALE BEACH BLVD, UNIT 605
HALLANDALE BEACH, FL
ZIP 33009
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Facility Phone Number: 305 974-5533

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1851453161

Taxonomy: 261QB0400X - Clinic/Center
A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman's residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns.

CLIA Record

Field Name	Field Value
CLIA Number	10D2116139
LAB Type	Physician Office
Facility Name	SPINE AND WELLNESS CENTERS OF AMERICA
Street	1250 E HALLANDALE BEACH BLVD, UNIT 605
City	HALLANDALE BEACH
State	FL
ZIP	33009
Phone	305 974-5533
CertificateType	4
CertificateEffectiveDate	7/20/2022
CertificateExpirationDate	7/19/2024
FacilityType	Waiver

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