10D1087955 CLIA NUMBER - JUAN CARLOS RONDON MD PA

Laboratory Demographics

  • CLIA Code: 10D1087955
  • Facility Name: JUAN CARLOS RONDON MD PA
  • Facility Address: 3157 N UNIVERSITY DR STE 103
    DAVIE, FL
    ZIP 33024
  • Facility Phone: 954 322-8985
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUAN C. RONDON
  • NPI Number: 1245284181
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1087955
LAB Type Physician Office
Facility Name JUAN CARLOS RONDON MD PA
Street 3157 N UNIVERSITY DR STE 103
City DAVIE
State FL
ZIP 33024
Phone 954 322-8985
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Physician Office
Lab Director JUAN C. RONDON

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This page was last updated on: 3/20/2025