10D2255503 CLIA NUMBER - ATLANTIC PAIN RELIEF CENTER

Laboratory Demographics

CLIA Number: 10D2255503

Facility Name: ATLANTIC PAIN RELIEF CENTER

Facility Address:
1600 E ATLANTIC BLVD SUITE A
POMPANO BEACH, FL
ZIP 33060
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Facility Phone Number: 561 855-2816

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1285971085

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	10D2255503
LAB Type	Physician Office
Facility Name	ATLANTIC PAIN RELIEF CENTER
Street	1600 E ATLANTIC BLVD SUITE A
City	POMPANO BEACH
State	FL
ZIP	33060
Phone	561 855-2816
CertificateType	4
CertificateEffectiveDate	3/15/2024
CertificateExpirationDate	3/14/2026
FacilityType	Waiver

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