10D1007999 CLIA NUMBER - PET IMAGING INSTITUTE OF SOUTH FLORIDA

Laboratory Demographics

  • CLIA Code: 10D1007999
  • Facility Name: PET IMAGING INSTITUTE OF SOUTH FLORIDA
  • Facility Address: 1150 NORTH 35TH AVE STE 665
    HOLLYWOOD, FL
    ZIP 33021
  • Facility Phone: 954 981-6668
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: BARBARA RAPHAEL
  • NPI Number: 1124020656
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1007999
LAB Type Other
Facility Name PET IMAGING INSTITUTE OF SOUTH FLORIDA
Street 1150 NORTH 35TH AVE STE 665
City HOLLYWOOD
State FL
ZIP 33021
Phone 954 981-6668
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Other
Lab Director BARBARA RAPHAEL

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