10D2044975 CLIA NUMBER - PINES CARDIOLOGY INC

Laboratory Demographics

  • CLIA Code: 10D2044975
  • Facility Name: PINES CARDIOLOGY INC
  • Facility Address: 10071 PINES BLVD BLDG B STE A
    PEMBROKE PINES, FL
    ZIP 33024
  • Facility Phone: 954 589-1611
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROY L. WHITTINGHAM
  • NPI Number: 1235499179
  • Taxonomy: 174400000X - Specialist

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Physician Office
Lab Director ROY L. WHITTINGHAM

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