10D0866145 CLIA NUMBER - HEIDI E GOLDBERG MD PA

Laboratory Demographics

  • CLIA Code: 10D0866145
  • Facility Name: HEIDI E GOLDBERG MD PA
  • Facility Address: 9555 SEMINOLE BLVD #201
    SEMINOLE, FL
    ZIP 33772
  • Facility Phone: 727 393-6881
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HEIDI E. GOLDBERG MD
  • NPI Number: 1346353059
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0866145
LAB Type Physician Office
Facility Name HEIDI E GOLDBERG MD PA
Street 9555 SEMINOLE BLVD #201
City SEMINOLE
State FL
ZIP 33772
Phone 727 393-6881
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director HEIDI E. GOLDBERG MD

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