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10D0969284 CLIA NUMBER - SUNLIFE OB/GYN SERVICES OF FT LAUDERDALE PA

Laboratory Demographics

CLIA Number: 10D0969284

Facility Name: SUNLIFE OB/GYN SERVICES OF FT LAUDERDALE PA

Facility Address:
4101 NORTHWEST 4TH ST STE 306
PLANTATION, FL
ZIP 33317
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Facility Phone Number: 954 522-2979

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1578052767

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name Field Value
CLIA Number 10D0969284
LAB Type Physician Office
Facility Name SUNLIFE OB/GYN SERVICES OF FT LAUDERDALE PA
Street 4101 NORTHWEST 4TH ST STE 306
City PLANTATION
State FL
ZIP 33317
Phone 954 522-2979
CertificateType 3
CertificateEffectiveDate 2/15/2024
CertificateExpirationDate 2/14/2026
FacilityType PPMP

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This page was last updated on: 4/23/2024