10D0960387 CLIA NUMBER - CENTRAL MEDICAL GROUP PA

Laboratory Demographics

  • CLIA Code: 10D0960387
  • Facility Name: CENTRAL MEDICAL GROUP PA
  • Facility Address: 7707 N UNIVERSITY DR #107
    TAMARAC, FL
    ZIP 33321
  • Facility Phone: (954) 722-4206
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN BENDER MD
  • NPI Number: 1306858352
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0960387
LAB Type Physician Office
Facility Name CENTRAL MEDICAL GROUP PA
Street 7707 N UNIVERSITY DR #107
City TAMARAC
State FL
ZIP 33321
Phone 9547224206
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Physician Office
Lab Director KEVIN BENDER MD

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