10D1001686 CLIA NUMBER - PEMBROKE PINES VA CBOC

Laboratory Demographics

CLIA Number: 10D1001686

Facility Name: PEMBROKE PINES VA CBOC

Facility Address:
7369 SHERIDAN STREET, SUITE 102
PEMBROKE PINES, FL
ZIP 33024
Get Directions

Facility Phone Number: 954 894-1668

Facility Type: Community Clinic

Certificate Type: Accreditation

NPI Number: 1134168529

Taxonomy: 261QV0200X - Clinic/Center

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
CertificateType	1
CertificateEffectiveDate	7/17/2002
CertificateExpirationDate	5/22/2026
FacilityType	Accreditation

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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