10D0868105 CLIA NUMBER - GORDON G SOUAID MD

Laboratory Demographics

  • CLIA Code: 10D0868105
  • Facility Name: GORDON G SOUAID MD
  • Facility Address: 1117 E HALLANDALE BEACH BLVD
    HALLANDALE BEACH, FL
    ZIP 33009
  • Facility Phone: 305 933-3170
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GORDON SOUAID
  • NPI Number: 1740234988
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0868105
LAB Type Physician Office
Facility Name GORDON G SOUAID MD
Street 1117 E HALLANDALE BEACH BLVD
City HALLANDALE BEACH
State FL
ZIP 33009
Phone 305 933-3170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Physician Office
Lab Director GORDON SOUAID

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