10D2122478 CLIA NUMBER - JUPITER MEDICAL CENTER URGENT CARE

Laboratory Demographics

CLIA Number: 10D2122478

Facility Name: JUPITER MEDICAL CENTER URGENT CARE

Facility Address:
3250 PGA BLVD
PALM BEACH GARDENS, FL
ZIP 33410
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Facility Phone Number: 561 263-7013

Facility Type: Other - URGENT CARE CENTER

Certificate Type: Waiver

NPI Number: 1386196707

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2122478
LAB Type	Other - URGENT CARE CENTER
Facility Name	JUPITER MEDICAL CENTER URGENT CARE
Street	3250 PGA BLVD
City	PALM BEACH GARDENS
State	FL
ZIP	33410
Phone	561 263-7013
CertificateType	4
CertificateEffectiveDate	11/29/2022
CertificateExpirationDate	11/28/2024
FacilityType	Waiver

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