10D1001686 CLIA NUMBER - PEMBROKE PINES VA CBOC

Laboratory Demographics

  • CLIA Code: 10D1001686
  • Facility Name: PEMBROKE PINES VA CBOC
  • Facility Address: 7369 SHERIDAN STREET, SUITE 102
    PEMBROKE PINES, FL
    ZIP 33024
  • Facility Phone: 954 894-1668
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: RAFAEL VALENZUELA
  • NPI Number: 1134168529
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1001686
LAB Type Community Clinic
Facility Name PEMBROKE PINES VA CBOC
Street 7369 SHERIDAN STREET, SUITE 102
City PEMBROKE PINES
State FL
ZIP 33024
Phone 954 894-1668
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/17/2002
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director RAFAEL VALENZUELA

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