10D1078766 CLIA NUMBER - MARIO MAGCALAS MD PA

Laboratory Demographics

  • CLIA Code: 10D1078766
  • Facility Name: MARIO MAGCALAS MD PA
  • Facility Address: 10794 PINES BLVD STE 205
    PEMBROKE PINES, FL
    ZIP 33026
  • Facility Phone: (954) 538-8543
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIO MAGCALAS
  • NPI Number: 1497856058
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1078766
LAB Type Physician Office
Facility Name MARIO MAGCALAS MD PA
Street 10794 PINES BLVD STE 205
City PEMBROKE PINES
State FL
ZIP 33026
Phone 9545388543
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2026
Certificate Expiration Date 1/15/2028
Facility Type Physician Office
Lab Director MARIO MAGCALAS

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