10D2204665 CLIA NUMBER - HEALTHY LIVING VISITING PHYSICIANS LLC

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Laboratory Demographics

CLIA Number: 10D2204665

Facility Name: HEALTHY LIVING VISITING PHYSICIANS LLC

Facility Address:
6901 OKEECHOBEE BLVD UNIT C-12
WEST PALM BEACH, FL
ZIP 33411
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Facility Phone Number: 561 207-2116

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1326565086

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2204665
LAB Type	Physician Office
Facility Name	HEALTHY LIVING VISITING PHYSICIANS LLC
Street	6901 OKEECHOBEE BLVD UNIT C-12
City	WEST PALM BEACH
State	FL
ZIP	33411
Phone	561 207-2116
CertificateType	4
CertificateEffectiveDate	12/10/2022
CertificateExpirationDate	12/9/2024
FacilityType	Waiver

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