10D2230378 CLIA NUMBER - ALPHA DNA HEALTH, LLC

Laboratory Demographics

CLIA Number: 10D2230378

Facility Name: ALPHA DNA HEALTH, LLC

Facility Address:
7750 NOVA DRIVE A4
DAVIE, FL
ZIP 33324
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Facility Phone Number: 954 944-1143

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1245802396

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	10D2230378
LAB Type	Physician Office
Facility Name	ALPHA DNA HEALTH, LLC
Street	7750 NOVA DRIVE A4
City	DAVIE
State	FL
ZIP	33324
Phone	954 944-1143
CertificateType	4
CertificateEffectiveDate	7/22/2023
CertificateExpirationDate	7/21/2025
FacilityType	Waiver

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