10D2130980 CLIA NUMBER - PALM MEDICAL CENTER - AVENTURA, LLC

Laboratory Demographics

CLIA Number: 10D2130980

Facility Name: PALM MEDICAL CENTER - AVENTURA, LLC

Facility Address:
16241 BISCAYNE BLVD
AVENTURA, FL
ZIP 33160
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Facility Phone Number: 305 749-1651

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1497271118

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	10D2130980
LAB Type	Physician Office
Facility Name	PALM MEDICAL CENTER - AVENTURA, LLC
Street	16241 BISCAYNE BLVD
City	AVENTURA
State	FL
ZIP	33160
Phone	305 749-1651
CertificateType	4
CertificateEffectiveDate	5/22/2023
CertificateExpirationDate	5/21/2025
FacilityType	Waiver

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