10D2125901 CLIA NUMBER - JUPITER MEDICAL CENTER URGENT CENTER

Laboratory Demographics

CLIA Number: 10D2125901

Facility Name: JUPITER MEDICAL CENTER URGENT CENTER

Facility Address:
625 N FLAGLER DR STE 100
WEST PALM BEACH, FL
ZIP 33401
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Facility Phone Number: 561 263-7010

Facility Type: Other - URGENT CARE CENTER

Certificate Type: Waiver

NPI Number: 1306351481

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2125901
LAB Type	Other - URGENT CARE CENTER
Facility Name	JUPITER MEDICAL CENTER URGENT CENTER
Street	625 N FLAGLER DR STE 100
City	WEST PALM BEACH
State	FL
ZIP	33401
Phone	561 263-7010
CertificateType	4
CertificateEffectiveDate	2/15/2023
CertificateExpirationDate	2/14/2025
FacilityType	Waiver

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