10D2119041 CLIA NUMBER - KIDZ MEDICAL SERVICES INC

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Laboratory Demographics

CLIA Number: 10D2119041

Facility Name: KIDZ MEDICAL SERVICES INC

Facility Address:
927 45TH ST SUITE 206
WEST PALM BEACH, FL
ZIP 33407
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Facility Phone Number: 305 661-1515

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1336524214

Taxonomy: 2080P0207X - Pediatrics
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

CLIA Record

Field Name	Field Value
CLIA Number	10D2119041
LAB Type	Physician Office
Facility Name	KIDZ MEDICAL SERVICES INC
Street	927 45TH ST SUITE 206
City	WEST PALM BEACH
State	FL
ZIP	33407
Phone	305 661-1515
CertificateType	4
CertificateEffectiveDate	9/19/2022
CertificateExpirationDate	9/18/2024
FacilityType	Waiver

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