10D2121811 CLIA NUMBER - NORTH BEACH VASCULAR AND AESTHETICS

Laboratory Demographics

CLIA Number: 10D2121811

Facility Name: NORTH BEACH VASCULAR AND AESTHETICS

Facility Address:
15400 BISCAYNE BLVD STE 103
AVENTURA, FL
ZIP 33160
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Facility Phone Number: 305 957-7277

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1285923482

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D2121811
LAB Type	Physician Office
Facility Name	NORTH BEACH VASCULAR AND AESTHETICS
Street	15400 BISCAYNE BLVD STE 103
City	AVENTURA
State	FL
ZIP	33160
Phone	305 957-7277
CertificateType	4
CertificateEffectiveDate	11/15/2022
CertificateExpirationDate	11/14/2024
FacilityType	Waiver

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