10D1101505 CLIA NUMBER - GENESISCARE USA OF FLORIDA, LLC

Laboratory Demographics

CLIA Number: 10D1101505

Facility Name: GENESISCARE USA OF FLORIDA, LLC

Facility Address:
6100 HOLLYWOOD BLVD STE 105
HOLLYWOOD, FL
ZIP 33024
Get Directions

Facility Phone Number: 954 987-3010

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1417220054

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	10D1101505
LAB Type	Physician Office
Facility Name	GENESISCARE USA OF FLORIDA, LLC
Street	6100 HOLLYWOOD BLVD STE 105
City	HOLLYWOOD
State	FL
ZIP	33024
Phone	954 987-3010
CertificateType	4
CertificateEffectiveDate	6/29/2023
CertificateExpirationDate	6/28/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024