10D0277920 CLIA NUMBER - FERNANDO N DIAZ MD PA

Laboratory Demographics

  • CLIA Code: 10D0277920
  • Facility Name: FERNANDO N DIAZ MD PA
  • Facility Address: 3990 SHERIDAN ST SUITE 206
    HOLLYWOOD, FL
    ZIP 33021
  • Facility Phone: 305 987-8183
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FERNANDO N. DIAZ
  • NPI Number: 1770678575
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 10D0277920
LAB Type Physician Office
Facility Name FERNANDO N DIAZ MD PA
Street 3990 SHERIDAN ST SUITE 206
City HOLLYWOOD
State FL
ZIP 33021
Phone 305 987-8183
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Physician Office
Lab Director FERNANDO N. DIAZ

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This page was last updated on: 9/29/2025