10D0963534 CLIA NUMBER - NOVA SOUTHEASTERN UNIVERSITY CLINIC PHARMACY

Laboratory Demographics

  • CLIA Code: 10D0963534
  • Facility Name: NOVA SOUTHEASTERN UNIVERSITY CLINIC PHARMACY
  • Facility Address: 3200 SOUTH UNIVERSITY DRIVE
    FORT LAUDERDALE, FL
    ZIP 33328
  • Facility Phone: 954 262-4550
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GOAR ALVAREZ
  • NPI Number: 1811288012
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 10D0963534
LAB Type Pharmacy
Facility Name NOVA SOUTHEASTERN UNIVERSITY CLINIC PHARMACY
Street 3200 SOUTH UNIVERSITY DRIVE
City FORT LAUDERDALE
State FL
ZIP 33328
Phone 954 262-4550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Pharmacy
Lab Director GOAR ALVAREZ

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