10D2275536 CLIA NUMBER - CLINICA LAS MERCEDES, LLC DBA LAS MERCEDES MEDICAL CENTERS

Laboratory Demographics

CLIA Number: 10D2275536

Facility Name: CLINICA LAS MERCEDES, LLC DBA LAS MERCEDES MEDICAL CENTERS

Facility Address:
8251 WEST BROWARD BLVD, STE 200
PLANTATION, FL
ZIP 33324
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Facility Phone Number: 954 334-3131

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1144868589

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2275536
LAB Type	Physician Office
Facility Name	CLINICA LAS MERCEDES, LLC DBA LAS MERCEDES MEDICAL CENTERS
Street	8251 WEST BROWARD BLVD, STE 200
City	PLANTATION
State	FL
ZIP	33324
Phone	954 334-3131
CertificateType	4
CertificateEffectiveDate	1/24/2023
CertificateExpirationDate	1/23/2025
FacilityType	Waiver

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