10D2121684 CLIA NUMBER - MEDPRO URGENT CARE CENTER INC

Laboratory Demographics

CLIA Number: 10D2121684

Facility Name: MEDPRO URGENT CARE CENTER INC

Facility Address:
2950 GRIFFIN RD
DANIA BEACH, FL
ZIP 33312
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Facility Phone Number: 954 924-6151

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1720439557

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2121684
LAB Type	Rural Health Clinic
Facility Name	MEDPRO URGENT CARE CENTER INC
Street	2950 GRIFFIN RD
City	DANIA BEACH
State	FL
ZIP	33312
Phone	954 924-6151
CertificateType	4
CertificateEffectiveDate	11/10/2022
CertificateExpirationDate	11/9/2024
FacilityType	Waiver

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