10D2117971 CLIA NUMBER - ORTHOPEDIC SURGERY CENTER OF PALM BEACH COUNTY

Laboratory Demographics

CLIA Number: 10D2117971

Facility Name: ORTHOPEDIC SURGERY CENTER OF PALM BEACH COUNTY

Facility Address:
10275 HAGEN RANCH RD SUITE 100
BOYNTON BEACH, FL
ZIP 33437
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Facility Phone Number: 860 667-9542

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1689756835

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	10D2117971
LAB Type	Ambulatory Surgery Center
Facility Name	ORTHOPEDIC SURGERY CENTER OF PALM BEACH COUNTY
Street	10275 HAGEN RANCH RD SUITE 100
City	BOYNTON BEACH
State	FL
ZIP	33437
Phone	860 667-9542
CertificateType	4
CertificateEffectiveDate	8/26/2022
CertificateExpirationDate	8/25/2024
FacilityType	Waiver

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