10D2131121 CLIA NUMBER - ORTHOPEDIC CENTER OF PALM BEACH COUNTY

Laboratory Demographics

CLIA Number: 10D2131121

Facility Name: ORTHOPEDIC CENTER OF PALM BEACH COUNTY

Facility Address:
1221 S STATE ROAD 7 STE 200
WELLINGTON, FL
ZIP 33414
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Facility Phone Number: 561 967-6500

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1114079738

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	10D2131121
LAB Type	Physician Office
Facility Name	ORTHOPEDIC CENTER OF PALM BEACH COUNTY
Street	1221 S STATE ROAD 7 STE 200
City	WELLINGTON
State	FL
ZIP	33414
Phone	561 967-6500
CertificateType	4
CertificateEffectiveDate	5/23/2023
CertificateExpirationDate	5/22/2025
FacilityType	Waiver

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