10D0967044 CLIA NUMBER - PCC MEDICAL HOLDINGS, LLC

Laboratory Demographics

  • CLIA Code: 10D0967044
  • Facility Name: PCC MEDICAL HOLDINGS, LLC
  • Facility Address: 100 N STATE RD 7, STE 204
    MARGATE, FL
    ZIP 33063
  • Facility Phone: 954 971-0330
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BARBARA MARTIN
  • NPI Number: 1154435634
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0967044
LAB Type Physician Office
Facility Name PCC MEDICAL HOLDINGS, LLC
Street 100 N STATE RD 7, STE 204
City MARGATE
State FL
ZIP 33063
Phone 954 971-0330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Physician Office
Lab Director BARBARA MARTIN

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