10D2036361 CLIA NUMBER - LATINOS SALUD INC

Laboratory Demographics

  • CLIA Code: 10D2036361
  • Facility Name: LATINOS SALUD INC
  • Facility Address: 1401 NE 26TH STREET
    WILTON MANORS, FL
    ZIP 33305
  • Facility Phone: 954 765-6239
  • Facility Type: Other - COMMUNITY BASED ORG
  • Facility Type: Waiver
  • Lab Director: STEPHEN J. FALLON
  • NPI Number: 1447872213
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2036361
LAB Type Other - COMMUNITY BASED ORG
Facility Name LATINOS SALUD INC
Street 1401 NE 26TH STREET
City WILTON MANORS
State FL
ZIP 33305
Phone 954 765-6239
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Other - COMMUNITY BASED ORG
Lab Director STEPHEN J. FALLON

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