10D2159313 CLIA NUMBER - DISCOVERY AT HOME PERSONALIZED LIVING

Laboratory Demographics

CLIA Number: 10D2159313

Facility Name: DISCOVERY AT HOME PERSONALIZED LIVING

Facility Address:
4735 NW 7TH COURT
BOYNTON BEACH, FL
ZIP 33426
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Facility Phone Number: 561 254-3170

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1548665557

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2159313
LAB Type	Home Health Agency
Facility Name	DISCOVERY AT HOME PERSONALIZED LIVING
Street	4735 NW 7TH COURT
City	BOYNTON BEACH
State	FL
ZIP	33426
Phone	561 254-3170
CertificateType	4
CertificateEffectiveDate	12/17/2022
CertificateExpirationDate	12/16/2024
FacilityType	Waiver

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