10D1048271 CLIA NUMBER - EMILIO JUNCOSA MD

Laboratory Demographics

  • CLIA Code: 10D1048271
  • Facility Name: EMILIO JUNCOSA MD
  • Facility Address: 1741 NW 123 AVE
    PEMBROKE PINES, FL
    ZIP 33026
  • Facility Phone: (954) 441-9595
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EMILIO J. JUNCOSA MD
  • NPI Number: 1568485969
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D1048271
LAB Type Physician Office
Facility Name EMILIO JUNCOSA MD
Street 1741 NW 123 AVE
City PEMBROKE PINES
State FL
ZIP 33026
Phone 9544419595
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2025
Certificate Expiration Date 11/28/2027
Facility Type Physician Office
Lab Director EMILIO J. JUNCOSA MD

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This page was last updated on: 5/18/2026