10D2156701 CLIA NUMBER - BL MEDICAL CENTER, INC

Laboratory Demographics

CLIA Number: 10D2156701

Facility Name: BL MEDICAL CENTER, INC

Facility Address:
9050 PINES BLVD STE 363
HOLLYWOOD, FL
ZIP 33024
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Facility Phone Number: 954 639-7738

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1467943126

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2156701
LAB Type	Physician Office
Facility Name	BL MEDICAL CENTER, INC
Street	9050 PINES BLVD STE 363
City	HOLLYWOOD
State	FL
ZIP	33024
Phone	954 639-7738
CertificateType	4
CertificateEffectiveDate	10/23/2022
CertificateExpirationDate	10/22/2024
FacilityType	Waiver

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