10D2170033 CLIA NUMBER - WEST BOYNTON MEDICAL CENTER

Laboratory Demographics

CLIA Number: 10D2170033

Facility Name: WEST BOYNTON MEDICAL CENTER

Facility Address:
6611 W BOYNTON BEACH BLVD
BOYNTON BEACH, FL
ZIP 33437
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Facility Phone Number: 561 806-8306

Facility Type: Other - PAIN MANAGEMENT

Certificate Type: Waiver

NPI Number: 1477721405

Taxonomy: 261QR0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2170033
LAB Type	Other - PAIN MANAGEMENT
Facility Name	WEST BOYNTON MEDICAL CENTER
Street	6611 W BOYNTON BEACH BLVD
City	BOYNTON BEACH
State	FL
ZIP	33437
Phone	561 806-8306
CertificateType	4
CertificateEffectiveDate	8/1/2023
CertificateExpirationDate	7/31/2025
FacilityType	Waiver

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