10D2219382 CLIA NUMBER - JOSHI RETINA INSTITUTE

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Laboratory Demographics

CLIA Number: 10D2219382

Facility Name: JOSHI RETINA INSTITUTE

Facility Address:
10075 S JOG ROAD SUITE 203
BOYNTON BEACH, FL
ZIP 33437
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Facility Phone Number: 561 767-9999

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1053760686

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D2219382
LAB Type	Physician Office
Facility Name	JOSHI RETINA INSTITUTE
Street	10075 S JOG ROAD SUITE 203
City	BOYNTON BEACH
State	FL
ZIP	33437
Phone	561 767-9999
CertificateType	4
CertificateEffectiveDate	4/5/2023
CertificateExpirationDate	4/4/2025
FacilityType	Waiver

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