10D0964619 CLIA NUMBER - SOUTHEAST PERINATAL ASSOCIATES, INC

Laboratory Demographics

  • CLIA Code: 10D0964619
  • Facility Name: SOUTHEAST PERINATAL ASSOCIATES, INC
  • Facility Address: 220 SW 84 AVE SUITE 104
    PLANTATION, FL
    ZIP 33324
  • Facility Phone: 954 585-2229
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: JAIME J. RODRIGUEZ
  • NPI Number: 1477535508
  • Taxonomy: 207VM0101X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 10D0964619
LAB Type Independent
Facility Name SOUTHEAST PERINATAL ASSOCIATES, INC
Street 220 SW 84 AVE SUITE 104
City PLANTATION
State FL
ZIP 33324
Phone 954 585-2229
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2025
Certificate Expiration Date 8/29/2027
Facility Type Independent
Lab Director JAIME J. RODRIGUEZ

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