10D2211635 CLIA NUMBER - SUN VALLEY HEALTH CARE SERVICES LLC

Laboratory Demographics

CLIA Number: 10D2211635

Facility Name: SUN VALLEY HEALTH CARE SERVICES LLC

Facility Address:
156 WEST AVE A
BELLE GLADE, FL
ZIP 33430
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Facility Phone Number: 561 860-1888

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1285212340

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2211635
LAB Type	Physician Office
Facility Name	SUN VALLEY HEALTH CARE SERVICES LLC
Street	156 WEST AVE A
City	BELLE GLADE
State	FL
ZIP	33430
Phone	561 860-1888
CertificateType	4
CertificateEffectiveDate	1/29/2023
CertificateExpirationDate	1/28/2025
FacilityType	Waiver

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