10D0975368 CLIA NUMBER - GENESISCARE USA OF FLORIDA, LLC

Laboratory Demographics

CLIA Number: 10D0975368

Facility Name: GENESISCARE USA OF FLORIDA, LLC

Facility Address:
601 N FLAMINGO RD STE 402
PEMBROKE PINES, FL
ZIP 33028
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Facility Phone Number: 239 938-9370

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1699044289

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	10D0975368
LAB Type	Physician Office
Facility Name	GENESISCARE USA OF FLORIDA, LLC
Street	601 N FLAMINGO RD STE 402
City	PEMBROKE PINES
State	FL
ZIP	33028
Phone	239 938-9370
CertificateType	4
CertificateEffectiveDate	3/11/2024
CertificateExpirationDate	3/10/2026
FacilityType	Waiver

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