10D2246972 CLIA NUMBER - PRIME HEALTH CARE CENTER

Laboratory Demographics

CLIA Number: 10D2246972

Facility Name: PRIME HEALTH CARE CENTER

Facility Address:
1495 FOREST HILL BLVD - STE #A3
WEST PALM BEACH, FL
ZIP 33406
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Facility Phone Number: 786 567-2561

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1447929468

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2246972
LAB Type	Practitioner Other
Facility Name	PRIME HEALTH CARE CENTER
Street	1495 FOREST HILL BLVD - STE #A3
City	WEST PALM BEACH
State	FL
ZIP	33406
Phone	786 567-2561
CertificateType	4
CertificateEffectiveDate	1/3/2024
CertificateExpirationDate	1/2/2026
FacilityType	Waiver

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