10D1065839 CLIA NUMBER - WILL RICHARDSON MD PA

Laboratory Demographics

  • CLIA Code: 10D1065839
  • Facility Name: WILL RICHARDSON MD PA
  • Facility Address: 1120 BAYVIEW DR
    FORT LAUDERDALE, FL
    ZIP 33304
  • Facility Phone: 954 537-4106
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. WILL RICHARDSON
  • NPI Number: 1225315385
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D1065839
LAB Type Physician Office
Facility Name WILL RICHARDSON MD PA
Street 1120 BAYVIEW DR
City FORT LAUDERDALE
State FL
ZIP 33304
Phone 954 537-4106
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Physician Office
Lab Director DR. WILL RICHARDSON

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