10D2193590 CLIA NUMBER - SUNMED GROUP LLC

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Laboratory Demographics

CLIA Number: 10D2193590

Facility Name: SUNMED GROUP LLC

Facility Address:
2499 GLADES RD STE 310
BOCA RATON, FL
ZIP 33431
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Facility Phone Number: 561 488-0431

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1093328163

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2193590
LAB Type	Physician Office
Facility Name	SUNMED GROUP LLC
Street	2499 GLADES RD STE 310
City	BOCA RATON
State	FL
ZIP	33431
Phone	561 488-0431
CertificateType	4
CertificateEffectiveDate	9/23/2022
CertificateExpirationDate	9/22/2024
FacilityType	Waiver

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