10D1065025 CLIA NUMBER - RICHARD A MCLEAN MD PA

Laboratory Demographics

  • CLIA Code: 10D1065025
  • Facility Name: RICHARD A MCLEAN MD PA
  • Facility Address: 4101 NW 4TH ST STE 404
    PLANTATION, FL
    ZIP 33317
  • Facility Phone: 954 792-4880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD A. MCLEAN
  • NPI Number: 1871571158
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D1065025
LAB Type Physician Office
Facility Name RICHARD A MCLEAN MD PA
Street 4101 NW 4TH ST STE 404
City PLANTATION
State FL
ZIP 33317
Phone 954 792-4880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Physician Office
Lab Director RICHARD A. MCLEAN

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