10D0920085 CLIA NUMBER - BROWARD HOUSE

Laboratory Demographics

  • CLIA Code: 10D0920085
  • Facility Name: BROWARD HOUSE
  • Facility Address: 417 SE 18TH CT
    FORT LAUDERDALE, FL
    ZIP 33316
  • Facility Phone: 954 522-4749
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: STACY HYDE
  • NPI Number: 1730514860
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 10D0920085
LAB Type Other
Facility Name BROWARD HOUSE
Street 417 SE 18TH CT
City FORT LAUDERDALE
State FL
ZIP 33316
Phone 954 522-4749
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Other
Lab Director STACY HYDE

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