10D0284232 CLIA NUMBER - M ANGELA MADDEN LLC

Laboratory Demographics

  • CLIA Code: 10D0284232
  • Facility Name: M ANGELA MADDEN LLC
  • Facility Address: 1700 NE 26TH ST STE 4
    FORT LAUDERDALE, FL
    ZIP 33305
  • Facility Phone: 954 563-3158
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MARY MADDEN
  • NPI Number: 1548515968
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0284232
LAB Type Practitioner Other
Facility Name M ANGELA MADDEN LLC
Street 1700 NE 26TH ST STE 4
City FORT LAUDERDALE
State FL
ZIP 33305
Phone 954 563-3158
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Practitioner Other
Lab Director MARY MADDEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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