10D2214028 CLIA NUMBER - SERENITY HILLS MEDICAL AND WELLNESS CENTER LLC

Laboratory Demographics

CLIA Number: 10D2214028

Facility Name: SERENITY HILLS MEDICAL AND WELLNESS CENTER LLC

Facility Address:
2215 N MILITARY TR - STE K
WEST PALM BEACH, FL
ZIP 33409
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Facility Phone Number: 561 932-4665

Facility Type: Other - MEDICAL WELLNESS CENTER

Certificate Type: Waiver

NPI Number: 1376190447

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 10D2214028
LAB Type Other - MEDICAL WELLNESS CENTER
Facility Name SERENITY HILLS MEDICAL AND WELLNESS CENTER LLC
Street 2215 N MILITARY TR - STE K
City WEST PALM BEACH
State FL
ZIP 33409
Phone 561 932-4665
CertificateType 4
CertificateEffectiveDate 2/18/2023
CertificateExpirationDate 2/17/2025
FacilityType Waiver

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