10D2260454 CLIA NUMBER - GPI MEDICAL CENTER INC

Laboratory Demographics

CLIA Number: 10D2260454

Facility Name: GPI MEDICAL CENTER INC

Facility Address:
920 EAST SAMPLE ROAD
POMPANO BEACH, FL
ZIP 33064
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Facility Phone Number: 954 960-2239

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1669930202

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2260454
LAB Type	Physician Office
Facility Name	GPI MEDICAL CENTER INC
Street	920 EAST SAMPLE ROAD
City	POMPANO BEACH
State	FL
ZIP	33064
Phone	954 960-2239
CertificateType	4
CertificateEffectiveDate	5/19/2022
CertificateExpirationDate	5/18/2024
FacilityType	Waiver

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