10D2220710 CLIA NUMBER - LAKE WORTH MEDICAL CLINIC CORP

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Laboratory Demographics

CLIA Number: 10D2220710

Facility Name: LAKE WORTH MEDICAL CLINIC CORP

Facility Address:
6295 LAKE WORTH RD - STE 30
GREENACRES, FL
ZIP 33463
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Facility Phone Number: 561 660-7399

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1881220861

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	10D2220710
LAB Type	Physician Office
Facility Name	LAKE WORTH MEDICAL CLINIC CORP
Street	6295 LAKE WORTH RD - STE 30
City	GREENACRES
State	FL
ZIP	33463
Phone	561 660-7399
CertificateType	4
CertificateEffectiveDate	4/14/2023
CertificateExpirationDate	4/13/2025
FacilityType	Waiver

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