10D2161726 CLIA NUMBER - VANGUARD MEDICAL GROUP

Laboratory Demographics

CLIA Number: 10D2161726

Facility Name: VANGUARD MEDICAL GROUP

Facility Address:
3401 DAVIE BLVD
FORT LAUDERDALE, FL
ZIP 33312
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Facility Phone Number: 954 465-6738

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1912202797

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	10D2161726
LAB Type	Physician Office
Facility Name	VANGUARD MEDICAL GROUP
Street	3401 DAVIE BLVD
City	FORT LAUDERDALE
State	FL
ZIP	33312
Phone	954 465-6738
CertificateType	1
CertificateEffectiveDate	6/30/2023
CertificateExpirationDate	6/29/2025
FacilityType	Accreditation

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