10D0956149 CLIA NUMBER - LESLIE SHAWN DO

Laboratory Demographics

  • CLIA Code: 10D0956149
  • Facility Name: LESLIE SHAWN DO
  • Facility Address: 400 N HITATUS ROAD SUITE 201
    PEMBROKE PINES, FL
    ZIP 33024
  • Facility Phone: 954 442-3434
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LESLIE SHAWN
  • NPI Number: 1922057009
  • Taxonomy: 208D00000X - General Practice

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0956149
LAB Type Physician Office
Facility Name LESLIE SHAWN DO
Street 400 N HITATUS ROAD SUITE 201
City PEMBROKE PINES
State FL
ZIP 33024
Phone 954 442-3434
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Physician Office
Lab Director LESLIE SHAWN

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: 9/29/2025