10D0285858 CLIA NUMBER - WESTGATE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 10D0285858
  • Facility Name: WESTGATE MEDICAL CENTER
  • Facility Address: 15814 W STATE ROAD 84
    FORT LAUDERDALE, FL
    ZIP 33326
  • Facility Phone: 954 384-7200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NINA J. PEARLMUTTER
  • NPI Number: 1730435751
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0285858
LAB Type Physician Office
Facility Name WESTGATE MEDICAL CENTER
Street 15814 W STATE ROAD 84
City FORT LAUDERDALE
State FL
ZIP 33326
Phone 954 384-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Physician Office
Lab Director NINA J. PEARLMUTTER

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