10D2193349 CLIA NUMBER - DAXIA TRIALS INC

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Laboratory Demographics

CLIA Number: 10D2193349

Facility Name: DAXIA TRIALS INC

Facility Address:
851 BROKEN SOUND PKWY NW, STE 125
BOCA RATON, FL
ZIP 33487
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Facility Phone Number: 561 910-1619

Facility Type: Other - RESEARCH OFFICE

Certificate Type: Waiver

NPI Number: 1619584596

Taxonomy: 261QR1100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2193349
LAB Type	Other - RESEARCH OFFICE
Facility Name	DAXIA TRIALS INC
Street	851 BROKEN SOUND PKWY NW, STE 125
City	BOCA RATON
State	FL
ZIP	33487
Phone	561 910-1619
CertificateType	4
CertificateEffectiveDate	9/21/2022
CertificateExpirationDate	9/20/2024
FacilityType	Waiver

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