10D1065767 CLIA NUMBER - ALI HARAKE MD PA

Laboratory Demographics

  • CLIA Code: 10D1065767
  • Facility Name: ALI HARAKE MD PA
  • Facility Address: 1930 NE 47 ST STE 201
    FORT LAUDERDALE, FL
    ZIP 33308
  • Facility Phone: 954 938-9949
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALI A. HARAKE
  • NPI Number: 1154341535
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1065767
LAB Type Physician Office
Facility Name ALI HARAKE MD PA
Street 1930 NE 47 ST STE 201
City FORT LAUDERDALE
State FL
ZIP 33308
Phone 954 938-9949
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Physician Office
Lab Director ALI A. HARAKE

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