10D0277931 CLIA NUMBER - ROBERT C SIUDMAK & ASSOCIATES MD PA

Laboratory Demographics

  • CLIA Code: 10D0277931
  • Facility Name: ROBERT C SIUDMAK & ASSOCIATES MD PA
  • Facility Address: 3801 HOLLYWOOD BLVD SUITE 250
    HOLLYWOOD, FL
    ZIP 33021
  • Facility Phone: 954 961-8303
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT C. SIUDMAK MD
  • NPI Number: 1073792180
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 10D0277931
LAB Type Physician Office
Facility Name ROBERT C SIUDMAK & ASSOCIATES MD PA
Street 3801 HOLLYWOOD BLVD SUITE 250
City HOLLYWOOD
State FL
ZIP 33021
Phone 954 961-8303
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Physician Office
Lab Director ROBERT C. SIUDMAK MD

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