10D0944893 CLIA NUMBER - LINDA R FAGAN

Laboratory Demographics

  • CLIA Code: 10D0944893
  • Facility Name: LINDA R FAGAN
  • Facility Address: 45 NW 4TH ST
    HOMESTEAD, FL
    ZIP 33033
  • Facility Phone: (305) 246-8224
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LINDA R. FAGAN
  • NPI Number: 1154590602
  • Taxonomy: 363LF0000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0944893
LAB Type Physician Office
Facility Name LINDA R FAGAN
Street 45 NW 4TH ST
City HOMESTEAD
State FL
ZIP 33033
Phone 3052468224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Physician Office
Lab Director LINDA R. FAGAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/29/2026