10D0959058 CLIA NUMBER - DAVID ANCONA MD

Laboratory Demographics

  • CLIA Code: 10D0959058
  • Facility Name: DAVID ANCONA MD
  • Facility Address: 603 NORTH FLAMINGO ROAD SUITE 365
    PEMBROKE PINES, FL
    ZIP 33028
  • Facility Phone: 954 432-1771
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID R. ANCONA
  • NPI Number: 1770579427
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0959058
LAB Type Physician Office
Facility Name DAVID ANCONA MD
Street 603 NORTH FLAMINGO ROAD SUITE 365
City PEMBROKE PINES
State FL
ZIP 33028
Phone 954 432-1771
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director DAVID R. ANCONA

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