10D0858609 CLIA NUMBER - PCC MEDICAL HOLDINGS LLC

Laboratory Demographics

  • CLIA Code: 10D0858609
  • Facility Name: PCC MEDICAL HOLDINGS LLC
  • Facility Address: 220 SW 84TH AVE #106
    PLANTATION, FL
    ZIP 33324
  • Facility Phone: (954) 452-0774
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PEDRO HERNANDEZ

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CLIA Record

Field Name Field Value
CLIA Number 10D0858609
LAB Type Physician Office
Facility Name PCC MEDICAL HOLDINGS LLC
Street 220 SW 84TH AVE #106
City PLANTATION
State FL
ZIP 33324
Phone 9544520774
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2026
Certificate Expiration Date 1/5/2028
Facility Type Physician Office
Lab Director PEDRO HERNANDEZ

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This page was last updated on: 5/18/2026