10D0284502 CLIA NUMBER - REYNALD POULIOT MD

Laboratory Demographics

  • CLIA Code: 10D0284502
  • Facility Name: REYNALD POULIOT MD
  • Facility Address: 265-B COMMERCIAL BLVD
    LAUDERDALE BY THE SEA, FL
    ZIP 33308
  • Facility Phone: 954 772-3960
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REYNALD POULIOT MD
  • NPI Number: 1003882069
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 10D0284502
LAB Type Physician Office
Facility Name REYNALD POULIOT MD
Street 265-B COMMERCIAL BLVD
City LAUDERDALE BY THE SEA
State FL
ZIP 33308
Phone 954 772-3960
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2024
Certificate Expiration Date 2/12/2026
Facility Type Physician Office
Lab Director REYNALD POULIOT MD

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