10D1023202 CLIA NUMBER - MEMORIAL MOBILE PRIMARY CARE CENTER

Laboratory Demographics

  • CLIA Code: 10D1023202
  • Facility Name: MEMORIAL MOBILE PRIMARY CARE CENTER
  • Facility Address: 3600 WASHINGTON STREET
    HOLLYWOOD, FL
    ZIP 33021
  • Facility Phone: 954 265-2788
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: LAURA LONDON-WEAVER
  • NPI Number: 1346357597
  • Taxonomy: 208M00000X - Hospitalist

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CLIA Record

Field Name Field Value
CLIA Number 10D1023202
LAB Type Mobile Laboratory
Facility Name MEMORIAL MOBILE PRIMARY CARE CENTER
Street 3600 WASHINGTON STREET
City HOLLYWOOD
State FL
ZIP 33021
Phone 954 265-2788
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type Mobile Laboratory
Lab Director LAURA LONDON-WEAVER

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