10D1079440 CLIA NUMBER - ROBERT A ROSEN MD PA

Laboratory Demographics

  • CLIA Code: 10D1079440
  • Facility Name: ROBERT A ROSEN MD PA
  • Facility Address: 4929 SW 148TH AVE
    DAVIE, FL
    ZIP 33330
  • Facility Phone: 954 252-5020
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ROBERT A. ROSEN
  • NPI Number: 1245259084
  • Taxonomy: 363LA2200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D1079440
LAB Type Other
Facility Name ROBERT A ROSEN MD PA
Street 4929 SW 148TH AVE
City DAVIE
State FL
ZIP 33330
Phone 954 252-5020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Other
Lab Director ROBERT A. ROSEN

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