10D1026231 CLIA NUMBER - NELSON CHARLIE MD PA

Laboratory Demographics

  • CLIA Code: 10D1026231
  • Facility Name: NELSON CHARLIE MD PA
  • Facility Address: 1800 SE 10TH AVENUE STE 305
    FORT LAUDERDALE, FL
    ZIP 33316
  • Facility Phone: 954 467-4100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NELSON CHARLIE
  • NPI Number: 1811998982
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1026231
LAB Type Physician Office
Facility Name NELSON CHARLIE MD PA
Street 1800 SE 10TH AVENUE STE 305
City FORT LAUDERDALE
State FL
ZIP 33316
Phone 954 467-4100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2024
Certificate Expiration Date 5/27/2026
Facility Type Physician Office
Lab Director NELSON CHARLIE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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