10D2193307 CLIA NUMBER - FLORIDA SPINE ASSOCIATES, LLC

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Laboratory Demographics

CLIA Number: 10D2193307

Facility Name: FLORIDA SPINE ASSOCIATES, LLC

Facility Address:
670 GLADES ROAD STE 200
BOCA RATON, FL
ZIP 33431
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Facility Phone Number: 919 766-8791

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1821113192

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D2193307
LAB Type	Physician Office
Facility Name	FLORIDA SPINE ASSOCIATES, LLC
Street	670 GLADES ROAD STE 200
City	BOCA RATON
State	FL
ZIP	33431
Phone	919 766-8791
CertificateType	1
CertificateEffectiveDate	12/29/2023
CertificateExpirationDate	12/28/2025
FacilityType	Accreditation

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