10D2044975 CLIA NUMBER - PINES CARDIOLOGY INC

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Laboratory Demographics

CLIA Number: 10D2044975

Facility Name: PINES CARDIOLOGY INC

Facility Address:
10071 PINES BLVD BLDG B STE A
PEMBROKE PINES, FL
ZIP 33024
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Facility Phone Number: 954 589-1611

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1235499179

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D2044975
LAB Type	Physician Office
Facility Name	PINES CARDIOLOGY INC
Street	10071 PINES BLVD BLDG B STE A
City	PEMBROKE PINES
State	FL
ZIP	33024
Phone	954 589-1611
CertificateType	4
CertificateEffectiveDate	8/3/2022
CertificateExpirationDate	8/2/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024