10D1039220 CLIA NUMBER - MUDASIRU A CAREW DO PA

Laboratory Demographics

  • CLIA Code: 10D1039220
  • Facility Name: MUDASIRU A CAREW DO PA
  • Facility Address: 12600 PEMBROKE RD STE 204
    MIRAMAR, FL
    ZIP 33027
  • Facility Phone: 954 987-6276
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MUDASIRU CAREW
  • NPI Number: 1487610044
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1039220
LAB Type Physician Office
Facility Name MUDASIRU A CAREW DO PA
Street 12600 PEMBROKE RD STE 204
City MIRAMAR
State FL
ZIP 33027
Phone 954 987-6276
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Physician Office
Lab Director MUDASIRU CAREW

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