10D2177654 CLIA NUMBER - FIRST MEDICAL CARE, INC

Laboratory Demographics

CLIA Number: 10D2177654

Facility Name: FIRST MEDICAL CARE, INC

Facility Address:
4312 N STATE RD 7
LAUDERDALE LAKES, FL
ZIP 33319
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Facility Phone Number: 954 306-6200

Facility Type: Other - HEALTH CARE CLINIC

Certificate Type: Waiver

NPI Number: 1326587346

Taxonomy: 363LP2300X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	10D2177654
LAB Type	Other - HEALTH CARE CLINIC
Facility Name	FIRST MEDICAL CARE, INC
Street	4312 N STATE RD 7
City	LAUDERDALE LAKES
State	FL
ZIP	33319
Phone	954 306-6200
CertificateType	4
CertificateEffectiveDate	1/15/2024
CertificateExpirationDate	1/14/2026
FacilityType	Waiver

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