10D2005612 CLIA NUMBER - ANDREW GARDNER LOGAN DBA LOGAN OPHTHALMIC RESEARCH, LLC

Laboratory Demographics

  • CLIA Code: 10D2005612
  • Facility Name: ANDREW GARDNER LOGAN DBA LOGAN OPHTHALMIC RESEARCH, LLC
  • Facility Address: 7401 N UNIVERSITY DR STE 201
    TAMARAC, FL
    ZIP 33321
  • Facility Phone: 954 724-5100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW G. LOGAN
  • NPI Number: 1013156538
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 10D2005612
LAB Type Physician Office
Facility Name ANDREW GARDNER LOGAN DBA LOGAN OPHTHALMIC RESEARCH, LLC
Street 7401 N UNIVERSITY DR STE 201
City TAMARAC
State FL
ZIP 33321
Phone 954 724-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2024
Certificate Expiration Date 3/30/2026
Facility Type Physician Office
Lab Director ANDREW G. LOGAN

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