10D2141186 CLIA NUMBER - SANCTUARY MEDICAL AESTHETIC CENTER OF BOCA RATON

Laboratory Demographics

CLIA Number: 10D2141186

Facility Name: SANCTUARY MEDICAL AESTHETIC CENTER OF BOCA RATON

Facility Address:
4800 N FED HWY C100
BOCA RATON, FL
ZIP 33431
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Facility Phone Number: (561) 886-0970

Facility Type: PHYSICIAN OFFICE

Certificate Type: Certificate of Compliance

NPI Number: 1801028618

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	10D2141186
LAB Type	PHYSICIAN OFFICE
Facility Name	SANCTUARY MEDICAL AESTHETIC CENTER OF BOCA RATON
Street	4800 N FED HWY C100
City	BOCA RATON
State	FL
ZIP	33431
Phone	(561) 886-0970

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This page was last updated on: 5/11/2023