10D0925957 CLIA NUMBER - GASTRO HEALTH LLC

Laboratory Demographics

  • CLIA Code: 10D0925957
  • Facility Name: GASTRO HEALTH LLC
  • Facility Address: 140 SW 84TH AVENUE SUITE C
    PLANTATION, FL
    ZIP 33324
  • Facility Phone: (954) 476-9350
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GERARDO S. LANES MD
  • NPI Number: 1295403509
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0925957
LAB Type Physician Office
Facility Name GASTRO HEALTH LLC
Street 140 SW 84TH AVENUE SUITE C
City PLANTATION
State FL
ZIP 33324
Phone 9544769350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Physician Office
Lab Director GERARDO S. LANES MD

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This page was last updated on: 5/18/2026