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10D2188074 CLIA NUMBER - DB MD

Laboratory Demographics

CLIA Number: 10D2188074

Facility Name: DB MD

Facility Address:
3516 NE 12 TH AVE
OAKLAND PARK, FL
ZIP 33334
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Facility Phone Number: 954 459-5487

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1477708394

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 10D2188074
LAB Type Physician Office
Facility Name DB MD
Street 3516 NE 12 TH AVE
City OAKLAND PARK
State FL
ZIP 33334
Phone 954 459-5487
CertificateType 4
CertificateEffectiveDate 7/13/2022
CertificateExpirationDate 7/12/2024
FacilityType Waiver

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