10D0976729 CLIA NUMBER - GENESISCARE USA OF FLORIDA LLC

Laboratory Demographics

CLIA Number: 10D0976729

Facility Name: GENESISCARE USA OF FLORIDA LLC

Facility Address:
5301 N DIXIE HWY STE 201
FORT LAUDERDALE, FL
ZIP 33334
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Facility Phone Number: 954 772-1220

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1821305467

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 10D0976729
LAB Type Physician Office
Facility Name GENESISCARE USA OF FLORIDA LLC
Street 5301 N DIXIE HWY STE 201
City FORT LAUDERDALE
State FL
ZIP 33334
Phone 954 772-1220
CertificateType 3
CertificateEffectiveDate 6/5/2023
CertificateExpirationDate 6/4/2025
FacilityType PPMP

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