10D2232541 CLIA NUMBER - URGENT CARE ONLINE, INC DBA UCO MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 10D2232541

Facility Name: URGENT CARE ONLINE, INC DBA UCO MEDICAL CLINIC

Facility Address:
2100 E HALLANDALE BEACH BLVD SUITE 404
HALLANDALE BEACH, FL
ZIP 33009
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Facility Phone Number: 786 288-3661

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1679045181

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	10D2232541
LAB Type	Physician Office
Facility Name	URGENT CARE ONLINE, INC DBA UCO MEDICAL CLINIC
Street	2100 E HALLANDALE BEACH BLVD SUITE 404
City	HALLANDALE BEACH
State	FL
ZIP	33009
Phone	786 288-3661
CertificateType	4
CertificateEffectiveDate	8/16/2023
CertificateExpirationDate	8/15/2025
FacilityType	Waiver

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