10D2017193 CLIA NUMBER - LUIS E OTERO MD PA

Laboratory Demographics

  • CLIA Code: 10D2017193
  • Facility Name: LUIS E OTERO MD PA
  • Facility Address: 3142 S CONGRESS AVE
    PALM SPRINGS, FL
    ZIP 33461
  • Facility Phone: 561 967-3186
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUIS E. OTERO
  • NPI Number: 1902910664
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2017193
LAB Type Physician Office
Facility Name LUIS E OTERO MD PA
Street 3142 S CONGRESS AVE
City PALM SPRINGS
State FL
ZIP 33461
Phone 561 967-3186
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Physician Office
Lab Director LUIS E. OTERO

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