10D0929524 CLIA NUMBER - IMMEDIATE CARE PA

Laboratory Demographics

  • CLIA Code: 10D0929524
  • Facility Name: IMMEDIATE CARE PA
  • Facility Address: 3345 JOG ROAD
    GREENACRES, FL
    ZIP 33467
  • Facility Phone: 561 965-4855
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHARAB MOHAMED
  • NPI Number: 1477740223
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0929524
LAB Type Physician Office
Facility Name IMMEDIATE CARE PA
Street 3345 JOG ROAD
City GREENACRES
State FL
ZIP 33467
Phone 561 965-4855
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Physician Office
Lab Director SHARAB MOHAMED

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