10D2286976 CLIA NUMBER - ALL ABOUT EVE MEDICAL AND WELLNESS CETNER LLC

Laboratory Demographics

CLIA Number: 10D2286976

Facility Name: ALL ABOUT EVE MEDICAL AND WELLNESS CETNER LLC

Facility Address:
3450 NORTHLALKE BLV SUITE 203
PALM BEACH GARDENS, FL
ZIP 33403
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Facility Phone Number: 954 560-8917

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1659900017

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	10D2286976
LAB Type	Practitioner Other
Facility Name	ALL ABOUT EVE MEDICAL AND WELLNESS CETNER LLC
Street	3450 NORTHLALKE BLV SUITE 203
City	PALM BEACH GARDENS
State	FL
ZIP	33403
Phone	954 560-8917
CertificateType	4
CertificateEffectiveDate	8/7/2023
CertificateExpirationDate	8/6/2025
FacilityType	Waiver

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