10D0885007 CLIA NUMBER - ASSOCIATES MD MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 10D0885007
  • Facility Name: ASSOCIATES MD MEDICAL GROUP INC
  • Facility Address: 1604 TOWN CENTER BLVD SUITE BC
    WESTON, FL
    ZIP 33326
  • Facility Phone: 954 245-4606
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAURA J. PERALTA
  • NPI Number: 1982494589
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0885007
LAB Type Physician Office
Facility Name ASSOCIATES MD MEDICAL GROUP INC
Street 1604 TOWN CENTER BLVD SUITE BC
City WESTON
State FL
ZIP 33326
Phone 954 245-4606
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2023
Certificate Expiration Date 10/16/2025
Facility Type Physician Office
Lab Director LAURA J. PERALTA

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