10D2243688 CLIA NUMBER - CHEN SENIOR MEDICAL CENTER- DEERFIELD BEACH

Laboratory Demographics

CLIA Number: 10D2243688

Facility Name: CHEN SENIOR MEDICAL CENTER- DEERFIELD BEACH

Facility Address:
1827 W HILLSBORO BLVD
DEERFIELD BEACH, FL
ZIP 33442
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Facility Phone Number: 305 842-3910

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1114698305

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name	Field Value
CLIA Number	10D2243688
LAB Type	Physician Office
Facility Name	CHEN SENIOR MEDICAL CENTER- DEERFIELD BEACH
Street	1827 W HILLSBORO BLVD
City	DEERFIELD BEACH
State	FL
ZIP	33442
Phone	305 842-3910
CertificateType	4
CertificateEffectiveDate	11/22/2023
CertificateExpirationDate	11/21/2025
FacilityType	Waiver

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