10D2116776 CLIA NUMBER - A NEW LIFE OBGYN OF BROWARD

Laboratory Demographics

CLIA Number: 10D2116776

Facility Name: A NEW LIFE OBGYN OF BROWARD

Facility Address:
220 SW 84TH AVE STE 203
PLANTATION, FL
ZIP 33324
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Facility Phone Number: 561 300-2410

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1992375620

Taxonomy: 207VG0400X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	10D2116776
LAB Type	Physician Office
Facility Name	A NEW LIFE OBGYN OF BROWARD
Street	220 SW 84TH AVE STE 203
City	PLANTATION
State	FL
ZIP	33324
Phone	561 300-2410
CertificateType	4
CertificateEffectiveDate	8/1/2022
CertificateExpirationDate	7/31/2024
FacilityType	Waiver

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