26D2001547 CLIA NUMBER - ST LOUIS HEALTHCARE SERVICES-WORLD OMNI

Laboratory Demographics

  • CLIA Code: 26D2001547
  • Facility Name: ST LOUIS HEALTHCARE SERVICES-WORLD OMNI
  • Facility Address: 111 JIM MORAN BLVD
    DEERFIELD BEACH, FL
    ZIP 33442
  • Facility Phone: 954 429-2418
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH BURKE
  • NPI Number: 1316337827
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2001547
LAB Type Physician Office
Facility Name ST LOUIS HEALTHCARE SERVICES-WORLD OMNI
Street 111 JIM MORAN BLVD
City DEERFIELD BEACH
State FL
ZIP 33442
Phone 954 429-2418
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2023
Certificate Expiration Date 12/21/2025
Facility Type Physician Office
Lab Director KENNETH BURKE

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This page was last updated on: 3/20/2025