10D2014334 CLIA NUMBER - SOUTHEAST PERINATAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 10D2014334
  • Facility Name: SOUTHEAST PERINATAL ASSOCIATES
  • Facility Address: 1951 SW 172 AVE STE 411
    MIRAMAR, FL
    ZIP 33029
  • Facility Phone: 954 431-7372
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAMIE J. RODRIGUEZ
  • NPI Number: 1972550614
  • Taxonomy: 207VM0101X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2014334
LAB Type Physician Office
Facility Name SOUTHEAST PERINATAL ASSOCIATES
Street 1951 SW 172 AVE STE 411
City MIRAMAR
State FL
ZIP 33029
Phone 954 431-7372
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Physician Office
Lab Director DR. JAMIE J. RODRIGUEZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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