10D0976483 CLIA NUMBER - DONALD DIXON MD PA

Laboratory Demographics

  • CLIA Code: 10D0976483
  • Facility Name: DONALD DIXON MD PA
  • Facility Address: 7261 SHERIDAN ST STE 100
    HOLLYWOOD, FL
    ZIP 33024
  • Facility Phone: 954 985-0774
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONALD F. DIXON
  • NPI Number: 1720138878
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0976483
LAB Type Physician Office
Facility Name DONALD DIXON MD PA
Street 7261 SHERIDAN ST STE 100
City HOLLYWOOD
State FL
ZIP 33024
Phone 954 985-0774
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type Physician Office
Lab Director DONALD F. DIXON

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