10D2045099 CLIA NUMBER - CENTER FOR GYNECOLOGIC ONCOLOGY LLC, THE

Laboratory Demographics

  • CLIA Code: 10D2045099
  • Facility Name: CENTER FOR GYNECOLOGIC ONCOLOGY LLC, THE
  • Facility Address: 12741 MIRAMAR PKWY STE 302, 303 & 304
    MIRAMAR, FL
    ZIP 33027
  • Facility Phone: 954 602-9723
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACOB TANGIR
  • NPI Number: 1427372648
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2045099
LAB Type Physician Office
Facility Name CENTER FOR GYNECOLOGIC ONCOLOGY LLC, THE
Street 12741 MIRAMAR PKWY STE 302, 303 & 304
City MIRAMAR
State FL
ZIP 33027
Phone 954 602-9723
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type Physician Office
Lab Director JACOB TANGIR

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