10D1103555 CLIA NUMBER - INNOVATIVE CARE II LLC

Laboratory Demographics

  • CLIA Code: 10D1103555
  • Facility Name: INNOVATIVE CARE II LLC
  • Facility Address: 12600 PEMBROKE RD STE 100
    MIRAMAR, FL
    ZIP 33027
  • Facility Phone: (945) 432-5400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GOKAHAN GUVENLI MD
  • NPI Number: 1417169210
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1103555
LAB Type Physician Office
Facility Name INNOVATIVE CARE II LLC
Street 12600 PEMBROKE RD STE 100
City MIRAMAR
State FL
ZIP 33027
Phone 9454325400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Physician Office
Lab Director GOKAHAN GUVENLI MD

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