10D1105794 CLIA NUMBER - ROBERT ODELL MD

Laboratory Demographics

  • CLIA Code: 10D1105794
  • Facility Name: ROBERT ODELL MD
  • Facility Address: 4002 NORTH OCEAN BLVD
    FORT LAUDERDALE, FL
    ZIP 33308
  • Facility Phone: 954 563-6784
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT L. ODELL
  • NPI Number: 1942315338
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1105794
LAB Type Physician Office
Facility Name ROBERT ODELL MD
Street 4002 NORTH OCEAN BLVD
City FORT LAUDERDALE
State FL
ZIP 33308
Phone 954 563-6784
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Physician Office
Lab Director ROBERT L. ODELL

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