10D1023372 CLIA NUMBER - DAVID MISHKIN DO

Laboratory Demographics

  • CLIA Code: 10D1023372
  • Facility Name: DAVID MISHKIN DO
  • Facility Address: 1960 NE 47TH STREET FLOOR 2
    FORT LAUDERDALE, FL
    ZIP 33308
  • Facility Phone: 954 202-7899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID MISHKIN
  • NPI Number: 1700896206
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1023372
LAB Type Physician Office
Facility Name DAVID MISHKIN DO
Street 1960 NE 47TH STREET FLOOR 2
City FORT LAUDERDALE
State FL
ZIP 33308
Phone 954 202-7899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Physician Office
Lab Director DAVID MISHKIN

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