10D2276991 CLIA NUMBER - BAL HARBOUR LABORATORIES LLC

Laboratory Demographics

CLIA Number: 10D2276991

Facility Name: BAL HARBOUR LABORATORIES LLC

Facility Address:
1111 KANE CONCOURSE SUITE 601
BAY HARBOR ISLANDS, FL
ZIP 33154
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Facility Phone Number: 201 736-1911

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1578167383

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	10D2276991
LAB Type	Physician Office
Facility Name	BAL HARBOUR LABORATORIES LLC
Street	1111 KANE CONCOURSE SUITE 601
City	BAY HARBOR ISLANDS
State	FL
ZIP	33154
Phone	201 736-1911
CertificateType	4
CertificateEffectiveDate	9/28/2023
CertificateExpirationDate	9/27/2025
FacilityType	Waiver

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