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10D2137506 CLIA NUMBER - NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS AT BOYNTON BEACH

Laboratory Demographics

CLIA Number: 10D2137506

Facility Name: NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS AT BOYNTON BEACH

Facility Address:
10383 HAGEN RANCH RD - STE 200
BOYNTON BEACH, FL
ZIP 33437
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Facility Phone Number: 561 799-7272

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1316468259

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name Field Value
CLIA Number 10D2137506
LAB Type Physician Office
Facility Name NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS AT BOYNTON BEACH
Street 10383 HAGEN RANCH RD - STE 200
City BOYNTON BEACH
State FL
ZIP 33437
Phone 561 799-7272
CertificateType 4
CertificateEffectiveDate 9/28/2023
CertificateExpirationDate 9/27/2025
FacilityType Waiver

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