10D2000168 CLIA NUMBER - WESTSIDE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D2000168
  • Facility Name: WESTSIDE PRIMARY CARE
  • Facility Address: 12651 W SUNRISE BLVD STE 202
    SUNRISE, FL
    ZIP 33351
  • Facility Phone: 954 741-7500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ZOIE GOLDSTEIN
  • NPI Number: 1942976048
  • Taxonomy: 208M00000X - Hospitalist

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CLIA Record

Field Name Field Value
CLIA Number 10D2000168
LAB Type Physician Office
Facility Name WESTSIDE PRIMARY CARE
Street 12651 W SUNRISE BLVD STE 202
City SUNRISE
State FL
ZIP 33351
Phone 954 741-7500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Physician Office
Lab Director ZOIE GOLDSTEIN

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