10D0877539 CLIA NUMBER - WILFRED C MCKENZIE MD PA

Laboratory Demographics

  • CLIA Code: 10D0877539
  • Facility Name: WILFRED C MCKENZIE MD PA
  • Facility Address: 1625 SE 3RD AVE SUITE 400
    FORT LAUDERDALE, FL
    ZIP 33316
  • Facility Phone: 954 832-0058
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILFRED C. MCKENZIE
  • NPI Number: 1245399963
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0877539
LAB Type Physician Office
Facility Name WILFRED C MCKENZIE MD PA
Street 1625 SE 3RD AVE SUITE 400
City FORT LAUDERDALE
State FL
ZIP 33316
Phone 954 832-0058
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Physician Office
Lab Director WILFRED C. MCKENZIE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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