10D2184237 CLIA NUMBER - ARTANG REHABILITATION CENTER LLC

Laboratory Demographics

CLIA Number: 10D2184237

Facility Name: ARTANG REHABILITATION CENTER LLC

Facility Address:
175 FONTAINEBLEAU BLVD STE 1-R-1
MIAMI, FL
ZIP 33172
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Facility Phone Number: 305 280-5686

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1912381583

Taxonomy: 261QR0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2184237
LAB Type	Community Clinic
Facility Name	ARTANG REHABILITATION CENTER LLC
Street	175 FONTAINEBLEAU BLVD STE 1-R-1
City	MIAMI
State	FL
ZIP	33172
Phone	305 280-5686
CertificateType	4
CertificateEffectiveDate	5/18/2022
CertificateExpirationDate	5/17/2024
FacilityType	Waiver

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