10D2248022 CLIA NUMBER - ADVANCED CARE CONSULTANTS, LLC

Laboratory Demographics

  • CLIA Code: 10D2248022
  • Facility Name: ADVANCED CARE CONSULTANTS, LLC
  • Facility Address: 5944 CORAL RIDGE 268
    CORAL SPRINGS, FL
    ZIP 33076
  • Facility Phone: 888 701-4161
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ALTIA LANDIS
  • NPI Number: 1003587361
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2248022
LAB Type Practitioner Other
Facility Name ADVANCED CARE CONSULTANTS, LLC
Street 5944 CORAL RIDGE 268
City CORAL SPRINGS
State FL
ZIP 33076
Phone 888 701-4161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Practitioner Other
Lab Director ALTIA LANDIS

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This page was last updated on: 9/29/2025