10D2002773 CLIA NUMBER - SCOTT TANNENBAUM MD PA

Laboratory Demographics

  • CLIA Code: 10D2002773
  • Facility Name: SCOTT TANNENBAUM MD PA
  • Facility Address: 4399 NOB HILL RD
    SUNRISE, FL
    ZIP 33351
  • Facility Phone: 954 746-1338
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT TANNENBAUM
  • NPI Number: 1295748994
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 10D2002773
LAB Type Physician Office
Facility Name SCOTT TANNENBAUM MD PA
Street 4399 NOB HILL RD
City SUNRISE
State FL
ZIP 33351
Phone 954 746-1338
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Physician Office
Lab Director SCOTT TANNENBAUM

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