10D0892497 CLIA NUMBER - CITY OF PEMBROKE PINES FIRE/RESCUE

Laboratory Demographics

CLIA Number: 10D0892497

Facility Name: CITY OF PEMBROKE PINES FIRE/RESCUE

Facility Address:
9500 PINES BLVD BLDG B
PEMBROKE PINES, FL
ZIP 33024
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Facility Phone Number: 954 435-6700

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1710028410

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	10D0892497
LAB Type	Other
Facility Name	CITY OF PEMBROKE PINES FIRE/RESCUE
Street	9500 PINES BLVD BLDG B
City	PEMBROKE PINES
State	FL
ZIP	33024
Phone	954 435-6700
CertificateType	4
CertificateEffectiveDate	9/30/2022
CertificateExpirationDate	9/29/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024